患者 ,男 ,2岁。因右下腹痛 10 d,张口困难 2 d来诊 ,患者于 10 d前出现持续性右下腹痛 ,伴发热 ,局部明显压痛 ,到当地医院就诊 ,确诊为“急性阑尾炎”,经静滴抗生素治疗 ,病情好转 ,腹痛明显减轻。 2 d前病人感张口困难 ,双下肢活动不便 ,转来我院就诊。查体 :体温 36.5℃ , Patient, male, 2 years old. Due to the right lower abdominal pain for 10 days and the difficult mouth for 2 days, the patients presented with persistent right lower quadrant pain before 10 days with fever and local tenderness. They were referred to a local hospital and diagnosed as “acute appendicitis”. After intravenous antibiotics , The condition improved, abdominal pain significantly reduced. 2 d before the patient mouth sense of difficulty, inconvenience of both lower extremities, transferred to our hospital. Physical examination: body temperature 36.5 ℃,