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患者男,39岁,1992一09—26入院。3天前,早餐自觉寒战,恶心、未吐,腹部脐周围闷痛感,约一天左右,腹痛固定于右下腹呈持续性钝痛,偶觉阵发性绞痛,伴恶心,呕吐一次,为少量胃内容物;发病后,食欲欠佳,无腹胀,腹泻;无呕血,黑便,无关节胀痛,无胸痛、咳嗽,无尿急、尿频及右肩放射痛,曾静滴庆大霉素24万u一次,效果不佳。查体:体温37.2℃,脉搏88次/分,全身皮肤、粘膜未见瘀斑及出血点,右下腹压痛(十),反跳痛(十),肌紧张(一),肠音活跃,腰大肌征(十),结肠充气试验(一)。血常规,RBC4.8
Male patient, 39 years old, admitted to hospital from January 1992 to September 1992. 3 days ago, breakfast chill, nausea, vomiting, abdominal pain around the umbilicus, about a day, abdominal pain was fixed in the right lower quadrant was persistent dull pain, occasional paroxysmal colic, with nausea, vomiting once, for a small amount Stomach contents; onset, poor appetite, no bloating, diarrhea; no hematemesis, melena, joint pain, no chest pain, cough, no urgency, frequent urination and right shoulder radiating pain, intravenous gentamicin 240,000 u once, the effect is not good. Physical examination: body temperature 37.2 ℃, pulse 88 beats / min, systemic skin, mucous membrane no ecchymosis and bleeding, right lower quadrant tenderness (ten), rebound tenderness (ten), muscle tension Big muscle sign (ten), colon inflatable test (a). Blood routine, RBC 4.8