1989年12月至1992年3月,作者收治四例因急腹痛而被误诊为急性阑尾炎,教训很深,现报告如下。 误诊病例介绍 例1、女,35岁,入院前2小时突然发作右上腹绞痛一阵后转移到右下腹持续性疼痛,伴恶心,无畏寒发热,二便无殊。体检:体温37.2℃,巩膜无黄染,腹平软,麦氏点压痛,无反跳痛。白细胞总数90×10~9/L,中 December 1989 to March 1992, the author admitted to four cases of acute abdominal pain was misdiagnosed as acute appendicitis, lessons learned, are as follows. Misdiagnosed case introduction Example 1, female, 35 years old, 2 hours before admission sudden onset of right upper quadrant angina transferred to the right lower quadrant persistent pain, with nausea, no chills fever, two will be no special. Physical examination: body temperature 37.2 ℃, sclera no yellow dye, abdominal soft, malt point tenderness, no rebound tenderness. The total number of white blood cells 90 × 10 ~ 9 / L, in