患儿申××,男,10岁,87年9月30日8时因患急性蜂窝组织炎性阑尾炎合并弥漫性腹膜炎入院。体温38.5℃,心率98次/分,发育正常,营养中等。急性痛苦面容,腹部稍膨隆,腹肌稍紧张,全腹压痛(+),反跳痛(+),以右下腹部及脐下为著,肠鸣音减弱。白血球总数20661/mm~3。患儿有青霉素过敏史。10时开始进行急诊手术,术中见阑尾肿胀,长约6cm,阑尾尾部有数个穿孔。行阑尾切除术,反复冲洗腹腔至干 Children apply × ×, male, 10 years old, at 8:00 on September 30, 87 due to acute inflammation of the appendicitis with diffuse cellular peritonitis hospitalized. Body temperature 38.5 ℃, heart rate 98 beats / min, normal development, nutrition is medium. Acute pain face, slightly bulging abdomen, slightly tense abdominal muscles, tenderness (+), rebound tenderness (+), to the lower right abdomen and under the navel, bowel sounds weakened. The total number of white blood cells 20661 / mm ~ 3. Children have a history of penicillin allergy. Emergency surgery began at 10 o’clock, see the appendix intraoperative swelling, about 6cm, appenial tail a few perforation. Line appendectomy, repeatedly washing the abdominal cavity to dry