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一、病例介绍王×,女,31岁,妊3/产0,此次妊娠3月时,因下腹痛,右下腹明显,肌紧张及反跳痛(-),考虑为阑尾炎,不能除外附件炎而予以抗生素保守治疗。次日腹痛加剧,有腹膜刺激症状,手术治疗时发现阑尾坏疽穿孔,伴有弥漫性腹膜炎,腹腔有脓液30ml,病理为急性化脓性阑尾炎,阑尾周围炎。术后体温波动于38℃上下达26天,WBC148000～16000,中性核67～95％。经引流及大量抗
Case description Wang ×, female, 31 years old, pregnancy 3 / production 0, the pregnancy in March, due to lower abdominal pain, right lower quadrant was obvious, muscle tension and rebound tenderness (-), considered as appendicitis, Inflammation and antibiotics to be conservative treatment. The next day increased abdominal pain, peritoneal irritation symptoms, surgical treatment found appendicitis perforation, accompanied by diffuse peritonitis, abdominal pus 30ml, the pathology of acute suppurative appendicitis, appendicitis. Postoperative temperature fluctuations up and down at 38 ℃ for 26 days, WBC148000 ~ 16000, 67 ~ 95% of the neutral nucleus. After drainage and a lot of resistance