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一、病例情况介绍:患者赵××,25岁,女性,家属。因右下腹疼痛已48小时,于1963年7月19日入院。发病经过:前一天突然感到右下腹疼痛,呈持续隐痛,有恶心感但未嘔吐,食欲不振,大便正常。个人史:无特殊嗜好。月经:15岁初潮,规律(周期为30-50天,每次持续1-4天),量不多。有痛经史。末次月经1963年5月1日。21岁顺产一男孩,23岁流产一次。入院情况:发育营养中等。体温36.8℃,脉搏80次/分钟,血压104/68毫米汞柱。马氏点有压痛和反跳痛。伸腿试验阳性,布朗伯革氏征可疑,雪脱可夫斯基氏征可疑,腰大肌与闭孔内肌征阴性。
First, the case description: Patient Zhao × ×, 25 years old, female, relatives. Right lower quadrant pain has been 48 hours, on July 19, 1963 admission. After the onset: the day before suddenly felt the right lower quadrant pain, was persistent pain, nausea, but did not vomit, loss of appetite, normal stool. Personal history: no special hobbies. Menstruation: 15-year-old menarche, regular (cycle is 30-50 days, each lasting 1-4 days), not much. A history of dysmenorrhea. The last menstruation May 1, 1963. 21-year-old boy, 23-year-old abortion once. Admission: developmental nutrition medium. Body temperature 36.8 ℃, pulse 80 beats / min, blood pressure 104/68 mm Hg. Markov point tenderness and rebound tenderness. Stretching leg test positive, Brown Burgess ’sign suspicious, snow off Koks’ suspicious signs, psoas muscle and obturator muscle sign negative.