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患者,男,59岁,于24小时前无明显诱因下出现上腹部疼痛,为阵发性胀痛不适,疼痛发作时伴有恶心、呕吐,无发热,无腹泻及黑便,未诉尿频、尿急、尿痛和血尿。一小时前患者腹痛加重,转移并固定于右下腹,急诊拟急性阑尾炎收住入院。病程中,患者精神略差,少量进食,大小便无异常。入院时查体:腹部平坦,未见胃肠型及蠕动波,无腹壁浅静脉曲张,腹肌柔软,右下腹部压痛明显,伴有轻微反跳痛,肝区和双肾区无叩击痛,
The patient, male, aged 59, developed upper abdomen pain without obvious predisposition 24 hours and had paroxysmal pain and discomfort. Nausea and vomiting accompanied with fever, no diarrhea and melena, Urgency, dysuria and hematuria. An hour ago, patients with abdominal pain aggravated, metastasis and fixed in the right lower quadrant, emergency admission acute appendicitis admission. During the course of the disease, patients slightly worse spirit, a small amount of eating, no abnormal urine. Admission examination: flat belly, no gastrointestinal and peristaltic waves, no superficial varicose veins, abdominal muscle soft, obvious tenderness in the lower right abdomen, accompanied by slight rebound tenderness, liver and kidney area without percussion pain ,