论文部分内容阅读
患者,女,14岁,因发现右下腹包块伴持续性腹痛11天,于1995年6月2日入院。 入院前11天偶然发现右下腹部疼痛,当地卫生院诊断为急性“阑尾炎”,口服中药治疗无明显好转。入院前一日疼痛加重,来我院外科诊为阑尾周围脓肿收入院。经抗感染补液治疗病情仍未缓解,妇科会诊,诊为卵巢囊肿并感染。无月经来潮。 体格检查:体温38℃,呼吸20次/分,脉搏80次/分,血压13/10kPa,全身浅表淋巴结未触及,腹部平坦,肝脾未及,右下腹部可触及一包块约12cm×10cm,质较韧,表面光滑,活动差,有压痛。肛腹双合
The patient, female, 14 years old, was admitted to hospital on June 2, 1995, because he found a right lower quadrant mass with persistent abdominal pain for 11 days. 11 days before admission accidental discovery of right lower quadrant pain, local hospitals diagnosed as acute “appendicitis”, no significant improvement in oral Chinese medicine treatment. On the day before admission, the pain worsened and came to my hospital surgical diagnosis of abscess appendix around the hospital. The anti-infective fluid treatment has not yet alleviated the condition, gynecological consultation, diagnosed as ovarian cysts and infection. No menstrual cramps. Physical examination: body temperature 38 ℃, breathing 20 beats / min, pulse 80 beats / min, blood pressure 13 / 10kPa, systemic superficial lymph nodes not touched, flat abdomen, liver and spleen without the right lower abdomen can reach a pack of about 12cm × 10cm, more tough quality, smooth surface, poor activity, tenderness. Anal abdominal double