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1 病例报告例 1:男,27岁,主诉右侧腹痛4天加重伴发热2天。查体:体温38～40°C,全腹有压痛和反跳痛,腹肌紧张,叩诊呈鼓音,肝浊音界缩小。腹透见膈下有游离气体。按上消化道穿孔收住院,剖腹探查见:胃十二指肠及小肠、大肠未见病变,盆腔和肠间多发性脓肿,脓汁灰白色有粪臭味,阑尾周围炎症明显,阑尾远端坏死穿孔。确诊为急性坏疽性阑尾炎,腹腔脓肿。清除腹腔脓汁、阑尾周围及腹腔置胶管引流,术后用氨苄青霉素,12天后治愈出院。
1 Case Report Example 1: Male, 27 years old, complained of right abdominal pain 4 days aggravated with fever for 2 days. Physical examination: body temperature 38 ~ 40 ° C, the whole abdomen with tenderness and rebound tenderness, abdominal muscle tension, percussion drum sounds, liver dullness narrowed. Abdominal see diaphragm free gas. According to the upper gastrointestinal perforation admitted to the hospital, laparotomy probing see: Gastroduodenal and small intestine, no disease in the large intestine, pelvic and intestine multiple abscesses, pus gray fecal odor, appendicitis around the inflammation, distal necrosis of the appendix perforation. Diagnosis of acute gangrenous appendicitis, abdominal abscess. Clear the abdominal pus, around the appendix and abdominal drainage tube, after surgery with ampicillin, cured 12 days after discharge.