病人女性,33岁。妊娠33周,因突发右侧腹部疼痛3 h由门诊以腹痛待诊收入院。病人于入院3 h前进食冷食后出现右侧腹部持续性胀痛,阵发性加重,无畏寒、发热,无恶心、呕吐,无腹泻,肛门未排气排便,无其他不适。查体:T 36.2℃,P 90次/min,R 20次/min,Bp 120/80 mmHg。皮肤巩膜无黄染,腹膨隆,未见肠型及蠕动波。宫底位于剑突与脐连线中点上方,右侧上腹、右侧中腹、右侧下腹部均有压痛,反跳痛,轻微肌紧张,莫非斯征可疑。肝、脾、双肾区 Patient female, 33 years old. 33 weeks of gestation, due to sudden right abdominal pain 3 h from the clinic to be admitted to hospital for treatment of abdominal pain. The patient had persistent abdominal pain on the right side after eating cold food 3 h before admission, with paroxysmal agitation, no chills, fever, no nausea, vomiting, no diarrhea, no defecation of the anus and no other discomfort. Examination: T 36.2 ℃, P 90 times / min, R 20 times / min, Bp 120/80 mmHg. Skin sclera without yellow dye, abdominal bulging, no intestinal and peristaltic waves. Uterus at the end of the palace at the junction of the midpoint and the umbilical cord, right upper quadrant, right middle abdomen, right lower abdomen are tenderness, rebound tenderness, slight muscle tension, Murphy sign suspicious. Liver, spleen, kidney area