患者男,45岁,住院号7946。突感腹部脐周围及右下腹剧痛6小时住院,伴有恶心呕吐,腹痛呈持续性,无腹泻、畏寒、不发热。检查:面色苍白,大汗淋漓,于床上打滚,T36.0℃,P72次/分,BP80/40毫米汞柱、心肺无异常,腹部膨隆,肝肋下3cm,脾肋下3cm,腹肌紧张,右下腹压痛明显。肝功能检查:黄疸指数30单位、麝香草酚浊度14单位,去氧胆酸(+)、谷丙转氨酶425单位,血清总蛋白6.90％毫克,血清白蛋白1.87克％,球蛋白5.30克％,NPN33.2毫 Male patient, 45 years old, hospital number 7946. Sudden sensation abdomen around the umbilicus and right lower abdomen painful 6 hours hospitalization, accompanied by nausea and vomiting, abdominal pain was persistent, no diarrhea, chills, no fever. Check: pale, sweating, rolling on the bed, T36.0 ℃, P72 beats / min, BP80 / 40 mm Hg, no abnormal heart and lungs, abdominal bulging, liver ribs 3cm, Spleen ribs 3cm, abdominal muscle tension Right lower quadrant tenderness significantly. Liver function tests: jaundice index 30 units, thymol turbidity 14 units, deoxycholic acid (+), alanine aminotransferase 425 units, serum total protein 6.90% mg, serum albumin 1.87 g%, globular protein 5.30 g% , NPN 33.2 milligrams