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患者女性,72岁,文盲,因“右下腹痛2 d”入院。2 d 前出现右下腹痛,持续性,无它处放射痛,当地医院对症治疗,症状未见好转,无阵发性加重,无恶心、呕吐,无发热,无尿频、尿急、尿痛。既往体健。入院查体:T 37.2℃,P 82次/min,R 20次/min,BP 125/76 mmHg,痛苦貌,皮肤巩膜无黄染,未见皮疹,心肺听诊未见异常,腹软,肝脾肋下未及,右下腹压痛明显,无肌紧张及反跳痛,移动性浊音阴性,肠鸣音3次/min,余未见异常。实验室检查:RBC 4.4×10~(12)/L,WBC 7.6×10~9/L,N 74%,L 25%,
Female patient, 72 years old, illiterate, due to “right lower quadrant pain 2 d ” admitted. 2 d before the right lower quadrant abdominal pain, persistent, no place to radiotherapy pain, local hospital symptomatic treatment, the symptoms did not improve, no paroxysmal agitation, no nausea, vomiting, no fever, no urinary frequency, urgency, dysuria. Past physical health. Admission examination: T 37.2 ℃, P 82 times / min, R 20 times / min, BP 125/76 mmHg, pain appearance, skin sclera no yellow dye, no rash, cardiopulmonary auscultation no abnormalities, abdominal soft, liver and spleen Under the ribs did not, right lower quadrant tenderness significantly, no muscle tension and rebound tenderness, mobility dullness negative, bowel sounds 3 times / min, I no abnormalities. Laboratory tests: RBC 4.4 × 10-12 / L, WBC 7.6 × 10-9 / L, N 74%, L 25%