患者，男，四岁。于1998年2月3日入院，1个月前因右下腹部疼痛，消瘦，食欲不振，在当地医院诊断为阑尾周围脓肿，抗炎治疗，未见明显好转。近日腹痛加重，消瘦明显。查体：一般状态欠佳，营养差，慢性消耗病容，无黄染，颈部及锁骨上窝未触及明显淋巴结。。肝肺正常。腹部平坦 Patient, male, four years old. Admitted to hospital on February 3, 1998, 1 month ago due to pain in the right lower abdomen, weight loss, loss of appetite, in the local hospital diagnosed as abscess around the appendix, anti-inflammatory treatment, no significant improvement. Recently, abdominal pain worsened and weight loss was evident. Physical examination: poor general condition, poor nutrition, chronic depletion, no yellow staining, no significant lymph nodes in the neck and supraclavicular fossa. . Normal liver and lungs. Flat belly