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患者女,21岁,未婚,突发性腹痛伴恶心、呕吐两天,于1999年7月11日入院。患者两天前,无明显诱因出现腹痛,疼痛为胀痛伴有恶心、呕吐,活动时疼痛加剧有下坠感,在当地诊断为急性阑尾炎,给予抗炎和对症治疗症状加重,急转我院外科。患者平时健康,末次月经1999年7月1日,至今淋漓不断,查体:T36.9℃,左下腹压痛、反跳痛明显,麦氏点有轻度压痛反跳痛,实验室检查:血WBC5.0×10~9/L、N0.82、L0.18,Hb90g/LC,尿常规红细胞5～6/HP。B超示:①
Female patient, 21 years old, unmarried, sudden abdominal pain with nausea and vomiting for two days, was admitted on July 11, 1999. Patients two days ago, no obvious incentive to appear abdominal pain, pain pain and nausea and vomiting accompanied by nausea and vomiting, increased activity when falling feeling flu in the local diagnosis of acute appendicitis, given anti-inflammatory and symptomatic treatment of symptoms aggravated acute hospital surgery . Patients usually healthy, the last menstrual July 1, 1999, has dripping continuously, physical examination: T36.9 ℃, left lower quadrant tenderness, rebound tenderness obvious, wheat Point mild tenderness rebound pain, laboratory tests: blood WBC5.0 × 10 ~ 9 / L, N0.82, L0.18, Hb90g / LC, urinary RBC 5 ~ 6 / HP. B show: ①