2001年5月至2002年4月,我院共施行急性阑尾炎手术315例,其中9例经术中及术后检查证实为流行性出血热,误诊率为2.85％。现报告并分析如下。 临床资料:本组男5例,女4例;年龄17～65岁,平均为30.2岁;病程3～7天,平均为4天。皆以高热后出现腹痛入院。9例均有高热(体温>39℃)史,并伴右下腹疼痛,6例(66.7％)伴恶心、呕吐。查体有腹膜刺激征者7例(77.1％),血象升高者3例 From May 2001 to April 2002, 315 cases of acute appendicitis were treated in our hospital. Among them, 9 cases were confirmed as epidemic hemorrhagic fever by intraoperative and postoperative examination, the misdiagnosis rate was 2.85%. Now report and analyze as follows. Clinical data: The group of 5 males and 4 females; aged 17 to 65 years, mean 30.2 years; duration of 3 to 7 days, an average of 4 days. After high fever were abdominal pain hospitalization. All 9 patients had a history of fever (body temperature> 39 ℃) with right lower quadrant pain and 6 patients (66.7%) with nausea and vomiting. Check the body with signs of peritoneal irritation in 7 cases (77.1%), 3 cases of elevated blood