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患者,22岁。因右下腹持续性疼痛伴呕吐一天入院。体检:T37.4℃,P86次/分,BP16/12kPa。右下腹肌紧张,有明显压痛及反跳痛。实验室检查:WBC14.6×10~9/L,N86%。尿常规正常。腹部透视未见异常。初诊:急性阑尾炎。在连续硬膜外麻醉下拟行阑尾切除术。切开腹膜后见肠间广泛膜状粘连。分离粘连找到阑尾,见阑尾正常。继续探查见回肠末端
Patient, 22 years old. Persistent pain due to right lower quadrant with vomiting one day admission. Physical examination: T37.4 ℃, P86 times / min, BP16 / 12kPa. Right lower abdomen muscle tension, tenderness and rebound tenderness. Laboratory tests: WBC14.6 × 10 ~ 9 / L, N86%. Urine routine normal. Abdominal see no abnormalities. New diagnosis: acute appendicitis. Apnea resection was performed under continuous epidural anesthesia. After the retroperitoneal see the intestine extensive membranous adhesions. Isolated adhesions to find the appendix, see appendix normal. Continue to explore see the terminal ileum