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1典型病例患者,男,30岁,因“转移性右下腹痛2d”入院。患者2d前无明显诱因出现脐周疼痛,为隐性胀痛,无向他处放射,伴呕吐1次,为胃物,无发热、无胸闷及气促、无腹胀及腹泻、无尿频尿急等。患者曾在某中医院治疗,效果欠佳,随后疼痛转移至右下腹部,疼痛性质同前,门诊拟“急性阑尾炎”收入院。起病以来,患者精神、胃纳欠佳,大小便正常。查体:
A typical case of patients, male, 30 years old, due to “metastatic right lower abdominal pain 2d ” admitted. No obvious predisposition of patients before 2d appeared umbilical pain, hidden recessive pain, no radiation elsewhere, with vomiting 1, for the stomach, no fever, no chest tightness and shortness of breath, no bloating and diarrhea, no urinary frequency urgency Wait. The patient was treated in a Chinese medicine hospital, the effect is not good, then the pain was transferred to the lower right abdomen, with the same pain nature, outpatient simulation “acute appendicitis ” income hospital. Since the onset, the patient’s spirit, poor appetite, normal urine. Physical examination: