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患者男性,70岁。89年8月9日因右下腹部持续疼痛转全腹疼痛44小时入院。患者于8月7日晚10时始有右下腹部疼痛伴发热,持续存在并逐渐加剧,翌日症状加重,并呕吐一次为少量胃内容物。检查:T37.8℃、P108次/分、R20次/分、BP180/110mmHg,发育正常,营养中等,神清,急性病容,腹部稍膨、全腹均有压痛,以右下腹部麦氏点为著,反跳痛阳性、肠鸣音减弱,白细胞10×10~9/L,中性75％。入院诊断:急性阑尾炎、弥漫性腹膜炎。即行阑尾切除术、术
The patient is male, 70 years old. On August 9, 89, she was hospitalized for 44 hours due to persistent pain in her right lower abdomen. The patient had pain in the right lower abdomen with fever at 10 o’clock on August 7th, which continued to exist and gradually worsened. The symptoms worsened on the following day, and vomiting occurred once with a small amount of stomach contents. Check: T37.8°C, P108 beats/min, R20 beats/min, BP180/110mmHg, normal development, moderate nutrition, clear eyes, acute disease, slight abdominal distention, tenderness in the entire abdomen, and Maxwell’s point in the lower right abdomen For the rebound, the pain is positive and the bowel sounds are weakened. The white blood cells are 10×10 9/L and neutral 75%. Admission diagnosis: acute appendicitis, diffuse peritonitis. The appendectomy, surgery