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患者:女,24岁,右下腹阵痛12小时伴恶心呕吐,末次月经1986年5月25日,外科门诊以“急性阑尾炎”于1986年6月19日收住院。患者一向健康,月经初潮14岁,周期28天,量中等,结婚2月,未避孕。检查:T37℃,HR100次,BP120/70。腹平坦,软,右下腹麦氏点有压痛,反跳痛,肝脾(-),肠呜音正常。化验:白细胞7.2×10~9/L,Hb94g/L,中性0.73,淋巴0.20,诊断“急性阑尾炎”。即行手术,发现腹腔有积血约100ml,查
Patients: Female, 24 years old, right lower quadrant pain with 12 hours nausea and vomiting, the last menstrual May 25, 1986, surgical clinic with “acute appendicitis” on June 19, 1986 admitted to hospital. Patients have always been healthy, menarche 14 years old, cycle 28 days, the amount of medium, married in February, not contraception. Check: T37 ℃, HR100 times, BP120 / 70. Abdomen flat, soft, right lower abdomen, Maxwell point tenderness, rebound tenderness, liver and spleen (-), bowel sounds normal. Laboratory tests: Leukocytes 7.2 × 10 ~ 9 / L, Hb94g / L, neutral 0.73, lymph 0.20, the diagnosis of “acute appendicitis.” The line operation, found that there is about 100ml abdominal cavity, check