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1 临床资料飞行学员,男,20岁,就诊时自述腹痛、恶心、呕吐。检查:体温37.2℃,血压120/70 mmHg。查体:腹肌稍紧张,右下腹麦氏点附近压痛,无反跳痛及其它不适。查外周血白细胞12.0×10~9/L。航医决定先留队观察,并肌注阿托品0.5 mg,静脉滴注青霉素800万单位,次日症状消失,航医误以为是阑尾炎保守治疗有效,
1 clinical data flight student, male, 20 years old, presented with abdominal pain, nausea and vomiting. Check: body temperature 37.2 ℃, blood pressure 120/70 mmHg. Physical examination: abdominal a little nervous, lower right abdominal pain near the McNamara point, no rebound pain and other discomfort. Check the peripheral white blood cells 12.0 × 10 ~ 9 / L. Medical doctors decided to stay team observation and intramuscular injection of atropine 0.5 mg, intravenous infusion of penicillin 800 million units, the next day the symptoms disappear, the paramedic mistakenly believe that conservative treatment of appendicitis is effective,