患者陈X，男，18岁，工人。患者于晨5时突发上腹部剧痛并迅速漫延全腹，伴恶心、呕吐，吐出胃内容物。发病4小时后入院。查体：体温39℃，腹肌紧张，呈板状腹，压痛反跳癌明显，肝法音界消失，腹部叩诊有移动性浊音，肠鸣音消失，右下腹穿刺抽出混浊性液体。实验室检查：白细胞 Patient Chan X, male, 18 years old, worker. Patient at 5 am sudden upper abdominal pain and rapid spread of the whole belly, with nausea, vomiting, spit out the contents of the stomach. Four hours after onset of admission. Physical examination: body temperature 39 ℃, abdominal muscle tension, was plate-shaped abdomen, tenderness and rebound cancer obvious, liver and law disappeared, abdominal percussion mobile dullness, bowel sounds disappear, the right lower quadrant punctured out of turbid liquid. Laboratory tests: white blood cells