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本组男3例,女1例,年龄24～68岁.4例均表现为短期内急性腹痛,伴有恶心、呕吐、发热,均有不同程度的腹膜刺激征.3例有慢性腹泻病史,1例发病前1个月内有不明原因低热.本组术前误诊为急性阑尾炎3例,1例误诊为化脓性阑尾炎并阑尾穿孔.3例阑尾明显充血、水肿,末端回肠轻度充血,均行阑尾切除术,其中1例术后第4天腹痛加重,有明显腹膜刺激征,再次手术探查发现,距回盲部15cm处回肠明显充血、水肿,即行部分回肠切除.1例回肠末端穿孔,行单纯肠穿孔修补,术后20天再穿孔行回肠切除.本组4例术后病理报告均为克隆病.
The group of 3 males and 1 female, aged 24 to 68. 4 cases showed acute abdominal pain in the short term, with nausea, vomiting, fever, there are varying degrees of peritoneal irritation.3 cases had a history of chronic diarrhea, One case before the onset of 1 month with unexplained fever, misdiagnosed as acute appendicitis in 3 cases, 1 case was misdiagnosed as suppurative appendicitis and appendectomy .3 cases of appendiceal hyperemia, edema, mild terminal hyperemia, are 1 case of abdominal pain after the 4th day of aggravating, significant peritoneal irritation, re-exploration found that 15cm away from the ileocecal ileum was congestion, edema, that part of the ileum resection line .1 cases of ileal perforation, Line simple bowel perforation repair, 20 days after perforation and ileal resection in this group of 4 cases of pathological reports are Crohn’s disease.