1病历摘要女,29岁。持续性右下腹痛2d,伴恶心、呕吐,呕吐物为胃内容物,疼痛是持续状态,阵发性加剧,无放散痛,病来无发冷、发热,二便正常,曾在当地卫生所肌内注射抗生素(药名不详),症状无明显缓解,于本院就诊,以急性阑尾炎收住院。查体:右下腹固定痛,反跳痛,轻度肌紧张,肠音正常 1 medical record summary female, 29 years old. Persistent right lower quadrant pain 2d, with nausea, vomiting, vomit for the stomach contents, the pain is sustained state, paroxysmal aggravating pain without radiance and disease to no chills, fever, then it will be normal, once in the local health clinic Intramuscular injection of antibiotics (drug name unknown), no significant symptoms of relief in our hospital, admitted to hospital with acute appendicitis. Physical examination: the right lower quadrant fixed pain, rebound tenderness, mild muscle tension, normal bowel sounds