患者女,21岁。1990年11月浮肿、发热,尿化验蛋白(++++)。在外院按肾炎用中药等治疗2个月,病情不见好转。因在血化验检查中有狼疮细胞(LEC)确诊为狼疮肾炎(LN)。经治疗1个月病情稳定而出院。1991年6月30日体温突然上升到39℃,同时出现右下腹部痛、稀便、每日排便6～8次,无脓血。按LN治疗2天无好转,又出现右下腹部阵发性痛加重,伴恶心、呕吐。会诊认为系统性红斑狼疮(SLE)并发化脓性阑尾炎限局性腹膜炎,当日手术。术中见腹腔内有黄色混浊的渗液150ml,大网膜位于右下腹部,并和髂窝腹膜形成粘连。阑尾长6.0cm,粗0.8cm,变硬,外有 Female patient, 21 years old. November 1990 edema, fever, urine test protein (++++). Nephritis by nephritis treatment with Chinese medicine for 2 months, the condition did not improve. Lupus nephritis (LN) was diagnosed due to lupus cells (LEC) in a blood test. After treatment for 1 month, the condition was stable and discharged. June 30, 1991 temperature suddenly rose to 39 ℃, while the right lower abdominal pain, loose stools, daily defecation 6 to 8 times, no abscess blood. LN treatment by 2 days without improvement, but also appeared in the lower right abdomen paroxysmal aggravated pain, with nausea and vomiting. Consultation that systemic lupus erythematosus (SLE) complicated suppurative appendicitis limited peritonitis, the day of surgery. Intraoperative intraoperative see a cloudy yellow exudate 150ml, the omentum in the lower right abdomen, and the formation of adhesions and peritoneal iliac fossa. Appendicers 6.0cm, 0.8cm thick, hardened, outside there