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患者,女,13岁,因持续右下腹痛8小时来诊。入院查体:体温36.5℃,脉搏120次/分,呼吸25次/分,血压12.0/8.0kPa,神志清,营养差,贫血貌。巩膜皮肤无黄染,浅表淋巴结无肿大。两肺呼吸音清,心率120次/分,律齐。腹平坦,下腹(右下腹为主)肌卫,压痛与反跳痛明显,腰大肌试验阳性,肝脾未触及,腹部有移动性浊音。平素体健,否认肝脏病史。月经未来潮。其母7年前死于亚急性肝坏死。实验室检查:血红蛋白95.1g/L,白细胞20.6×10~9/L,中性0.
The patient, female, is 13 years old and has been admitted for 8 hours because of persistent lower abdominal pain. Admission examination: body temperature 36.5 °C, pulse 120 beats / min, breathing 25 beats / min, blood pressure 12.0/8.0kPa, clear mind, poor nutrition, anemia appearance. The scleral skin is yellow-stained and there is no enlargement of superficial lymph nodes. The breath sounds clear in both lungs and the heart rate is 120 beats/min. Abdominal flat, lower abdomen (main right lower abdomen) muscle guard, tenderness and rebound tenderness, psoas muscle test positive, not touched by the liver and spleen, abdomen with mobile dullness. Normal physical health, denied the history of liver disease. The future tide of menstruation. Her mother died of subacute hepatic necrosis 7 years ago. Laboratory examination: Hemoglobin 95.1g/L, WBC 20.6×10~9/L, Neutral 0.