患者男性,31岁,船工,既往体健。1991年9月27日出现畏寒、发热,诊断为一般炎症疾患,予以抗炎治疗。10月15日,从坐位站立时,突觉持续性左上腹剧痛,。当天午夜就诊,发现腹膜炎体征而转至外科。体检:血压14/8kpa,脉搏120次/min,急病容,腹稍饱胀,全腹肌紧张、压痛和反跳痛,以左上腹 Male patient, 31 years old, boatman, past physical health. September 27, 1991 chills, fever, diagnosis of general inflammatory disorders, anti-inflammatory treatment. October 15, standing from the seat, suddenly felt the pain of the left upper quadrant. Midnight on the day of treatment, signs of peritonitis found and go to surgery. Physical examination: blood pressure 14 / 8kpa, pulse 120 beats / min, acute disease, abdominal slightly swell, all abdominal muscle tension, tenderness and rebound tenderness to the left upper quadrant