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目前,在医疗单位的外科医生中普遍存在对已婚或未婚的青年女性,在诊断急性阑尾炎时,往往忽略淋病或淋病腹膜炎诊断的问题.这是急腹症诊断或鉴别诊断时出现的新问题.病例1,患者,女,年龄20岁.两天前突然出现下腹痛,有灼胀痛,右下腹压痛为重.不固定疼痛,以急性化脓性阑尾炎、局限性腹膜炎入院.WBC18.4 × 10~9/L,T39℃.故手术探查,术中发现:阑尾无炎性反应.右侧卵巢脓肿破裂引起的盆腔炎.同时请妇科会诊,查体:尿道、尿道旁腺、前庭大腺,有脓性分泌物,大阴唇红肿,子宫颈口处有脓性分泌物,从子宫内抽出400ml
Currently, there is a widespread prevalence among young surgeons in medical units about the diagnosis of gonorrhea or gonorrhea when diagnosing acute appendicitis, which is a new problem in the diagnosis or differential diagnosis of acute abdomen Case 1, the patient, female, age 20. Suddenly appeared two days ago, abdominal pain, burning pain, right lower quadrant tenderness is not fixed pain, acute suppurative appendicitis, localized peritonitis hospitalized WBC18.4 × 10 ~ 9 / L, T39 ℃. Therefore, surgical exploration, intraoperative findings: no inflammatory reaction in the appendix. Right ovarian abscess rupture caused by pelvic inflammatory disease at the same time please gynecological consultation, examination: urethra, paraurethral gland, vestibular gland , There purulent discharge, labia majoramporal swelling, purulent discharge of the cervix, 400ml from the uterus