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例1:女,6岁.腹痛、发热3天,伴呕吐1天入院.查体:T39.8℃,P120次/分,急性病容,腹部膨隆,全腹压痛(+),反跳痛(+),移动性浊音(±),肠鸣音消失.血WBC15.8×10~9/L,N78%,Hbl00g/L,CO_2CP12.04mmol/L.诊断急性化脓性腹膜炎,中毒性休克.急诊手术,术中见阑尾的7×0.6×0.6cm,明显充血水肿,腹内脏浆膜面脓苔履盖,腹腔内见混浊性脓液350ml有臭味.小肠内积气液,有蛔虫团.切除阑尾,小肠减压内容物500ml,蛔虫12条.术后7天,体温持续37.4～39.6℃,脉搏120～140次/分.B超检查提示腹腔积液,考虑为腹腔内残余感染.于双下腹戳孔置管盆腔,吸出脓液200ml.每日生理盐水1000ml加庆大霉素8万u,持续灌洗4天,体温、血压恢复正常.灌洗液清亮,保留引流管2天,无液体引出后拔管治愈.例2:女,68岁.腹痛7天,频繁呕吐,停止排气便3天入院.查体:T36℃,P140次/分,R28次/分,BP9.33/
Case 1: Female, 6 years old. Abdominal pain, fever 3 days, with vomiting 1 day admitted. Physical examination: T39.8 ℃, P120 beats / min, acute sickness, abdominal bulging, (+), Voiced motility (±) and bowel sounds disappeared.WBC15.8 × 10 ~ 9 / L, N78%, Hb100g / L, CO_2CP12.04mmol / L.Acute suppurative peritonitis, Surgery, surgery, see the appendix of 7 × 0.6 × 0.6cm, obvious congestion and edema, abdominal visceral serosa surface covered with pus moss, intraperitoneal see cloudy pus 350ml stinky. Intestinal fluid, with roundworm worms. Excision of the appendix, the content of small intestine 500ml, roundworm 12. 7 days after surgery, body temperature continued to 37.4 ~ 39.6 ℃, pulse 120 ~ 140 beats / min .B ultrasound examination revealed ascites, considered as intra-abdominal residual infection. Double abdominal punctured hole set the pelvic cavity, sucked out of pus 200ml daily saline 1000ml plus gentamicin 80,000 u, continuous lavage 4 days, body temperature, blood pressure returned to normal lavage fluid clear, keep the drainage tube for 2 days, Extubation: T36 ℃, P140 beats / min, R28 beats / min, BP9.33 /