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病例资料患者,男,54岁,因右下腹包块伴疼痛1个月入院。入院后查体:意识清醒,营养中等,生命体征平稳,心肺听诊未闻及异常;腹平坦,未见肠形及蠕动波,腹形对称。腹式呼吸存在,右下腹有一包块,略压痛,较固定,无波动感;肝浊音界正常,移动性浊音阴性;肠鸣音5次/min。B超检查示右下腹包块,考虑阑尾炎。术前诊断:右下腹包块,慢性阑尾炎?经术前准备后行手术治疗。术中见阑尾囊状扩张,约9 cm×4 cm×4 cm大小,与周围组织略粘连固
Case information The patient, male, 54 years old, was admitted to the hospital with a right lower quadrant mass with pain for 1 month. After admission, physical examination: conscious, moderate nutrition, stable vital signs, cardiopulmonary auscultation has not heard and abnormal; abdominal flat, no intestinal and peristaltic waves, abdominal symmetry. Abdominal breathing, there is a mass of the right lower quadrant, a little tenderness, more fixed, no fluctuations in the sense of; normal liver dullness, mobility dullness negative; bowel sounds 5 times / min. B-ultrasound showed right lower quadrant mass, consider appendicitis. Preoperative diagnosis: right lower quadrant mass, chronic appendicitis? Surgical treatment after preoperative preparation. See intraoperative appendiceal cystic dilatation, about 9 cm × 4 cm × 4 cm size, slightly sticky with the surrounding tissue solid