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患者23岁,未婚,经期后8天。因心窝部隐痛后转为脐周痛,连续四次稀便后突然右下腹剧痛,大汗淋漓伴恶心呕吐,持续3小时不缓解急诊入院。体检:T36.8℃,P98次/分,BP120/80mmHg。急性痛苦病容,辗转不安,心肺正常,腹平坦,腹肌紧张,右下腹有压痛及反跳痛,肠音减弱。妇科检查:外阴发育正常,处女膜完好,肛诊盆腔右侧触及一鹅卵大硬性包块,压痛明显,左侧空虚,因患者不合作子宫触诊不满意。血化验:WBC18.2×10~9/L,N90%,L10%。
Patient 23 years old, unmarried, 8 days after menstruation. Due to pain in the Ministry of heel after conversion to umbilical pain, four consecutive loose stool suddenly a right lower quadrant pain, sweating accompanied by nausea and vomiting, sustained 3 hours does not relieve emergency admission. Physical examination: T36.8 ℃, P98 times / min, BP120 / 80mmHg. Acute pain and sickness, unhappy, normal heart and lungs, flat belly, abdominal muscle tension, tenderness and rebound tenderness in the lower right abdomen, intestinal weakness. Gynecological examination: normal vulva development, the hymen intact, pelvic anastomosis touches the right side of a large ductile mass of goose feathers, tenderness significantly left an empty because of uncooperative uterine palpation is not satisfied. Blood tests: WBC18.2 × 10 ~ 9 / L, N90%, L10%.