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患者男,51岁。1982年5月4日入院。两天前腹部隐痛,伴尿频,服合霉素不见好转,于入院前4小时弯腰穿鞋时,突感下腹刀割样剧痛而入院。查体:体温39℃,脉搏124次,血压110/80毫米汞柱,面色苍白,出冷汗,四肢湿冷,心肺正常,肝浊音界在第5肋间。腹式呼吸消失,腹部板状强直,压痛及反跳痛,以下腹为显著。有移动性浊音,肠鸣音减弱。化验:白细胞18000,中性86％,淋巴14％,尿红细胞(++)胸腹透视未见异常。临床诊断:弥漫性腹膜炎。入院后两小时行剖腹探查,吸出腹腔内淡黄色浓体2200
Patient male, 51 years old. May 4, 1982 admission. Abdominal pain two days ago, with frequent urination, taking clindamycin did not improve, 4 hours before admission stoop shoes, sudden sensation lower abdominal knife cut like pain and admission. Physical examination: body temperature 39 ℃, pulse 124 times, blood pressure 110/80 mm Hg, pale, cold and sweat, cold limbs, normal heart and lung, liver dullness in the 5th intercostal space. Abdominal breathing disappeared, abdominal plate rigidity, tenderness and rebound tenderness, the lower abdomen was significant. Mobility voiced, bowel sounds weakened. Laboratory tests: 18,000 leukocytes, 86% neutral, lymphatic 14%, urinary red blood cells (++) No abnormal thymopenia. Clinical diagnosis: diffuse peritonitis. Two hours after admission, the laparotomy was performed, and the intraabdominal pale yellow color was aspirated