患者男,22岁,于1997年12月10日以“右下腹持续性疼痛48小时,加重伴恶心呕吐15小时”入院,腹痛呈阵发性加剧,逐渐波及两侧中下腹部,伴恶心呕吐数次,呕吐物均为胃内容物,全身畏寒(当时未测体温),在单位医务所用庆大霉素24万u+诺氟沙星0.2g静脉点滴一次,症状无明显改善。入院时体温38.6℃,脉搏88次/分,血压16/9kPa。心肺未见异常,中下腹 The patient, male, 22 years old, was admitted to the hospital on December 10, 1997 with “pain in the right lower quadrant for 48 hours and aggravating nausea and vomiting for 15 hours”. The abdominal pain was exacerbated by paroxysm and gradually spread to the lower abdomen on both sides. Nausea and vomiting several times, vomitus are stomach contents, chills (body temperature was not measured), in the unit medical use gentamicin 240,000 u + norfloxacin 0.2g intravenous drip, no significant improvement in symptoms. Admission body temperature 38.6 ℃, pulse 88 beats / min, blood pressure 16 / 9kPa. Heart and lung no abnormalities, the lower abdomen