例1.28岁,住院号176763。腹痛二天,初起下腹痛,逐渐转至全腹,持续性阵发加剧,伴发热、恶心及呕吐,于1987年4月23日以弥漫性腹膜炎收入外科。体检:T38.2℃,P112次/分,血压正常。腹平坦,全腹有压痛、肌紧张及反跳痛,肠音弱。妇检:阴道前庭及尿道外口充血,阴道内有脓性分泌物,宫颈Ⅲ°糜烂,子宫稍大,活动良好,有压痛,双附件有触痛。WBC19.6×10(?)/L,S0.85,L0.15。术中见腹腔内有少量淡黄色脓液,无味,小肠充血、水肿,肠壁有少许脓苔,阑尾轻度充血、肿胀。子宫鸭卵大,表面轻度充血,双侧输卵管明显充血、水肿,伞端粘连且覆盖脓苔,行腹腔引流及阑尾切除术。术中取脓液涂片检查,可见中性粒细胞内有革兰氏阴性双球菌。术后诊断:①淋菌性腹膜炎,②阑尾浆膜炎。痊愈出院。例2.26岁,住院号186698。右下腹痛36小时,全腹持续性痛12小时,轻度发热伴尿急尿频,于1987年11月19日来院。妇检:阴道内有脓性分泌物,后穹窿穿刺抽出少量脓液,疑诊阑尾穿孔收外科病房。体检:T38℃,P102次/分,血压正常。全腹均有压 Example 1.28 years old, hospital number 176763. Abdominal pain for two days, beginning from the next abdominal pain, and gradually transferred to the full abdomen, persistent paroxysmal exacerbations, with fever, nausea and vomiting, April 23, 1987 with diffuse peritonitis income surgery. Physical examination: T38.2 ℃, P112 times / min, normal blood pressure. Abdomen flat, full belly tenderness, muscle tension and rebound tenderness, intestinal weak sound. Gynecological examination: vaginal vestibule and urethral external congestion, vaginal purulent secretions, cervix Ⅲ ° erosion, the uterus slightly larger, good activity, tenderness, double attachment tenderness. WBC19.6 × 10 (?) / L, S0.85, L0.15. Intraoperative see a small amount of light yellow pus, tasteless, small intestine congestion, edema, a small pus in the intestinal wall, appendicitis mild congestion, swelling. Uterine duck eggs, mild hyperemia on the surface, bilateral tubal congestion, edema, umbrella end adhesions and cover pus moss, abdominal drainage and appendectomy. Pus taken intraoperative smear examination, we can see that there are Gram-negative neutrophils in neutrophils. Postoperative diagnosis: ① gonococcal peritonitis, ② appendicitis serositis. Healed and discharged. Example 2.26 years old, hospital number 186698. Right lower quadrant pain for 36 hours, full abdominal persistent pain for 12 hours, mild fever with urinary urgency, in November 19, 1987 to the hospital. Gynecological examination: purulent secretions within the vagina, culdocentesis after a small amount of pus, suspicious appendix perforated surgical ward. Physical examination: T38 ℃, P102 times / min, normal blood pressure. All abdominal pressure