患者 男,8岁。因右下腹疼痛伴发热、发冷3天入院。腹痛突然,剧痛,后转为持续性钝痛,不放射。恶心、呕吐,呕出胃内容物。检查:体温36℃,脉搏104次/分,呼吸24次/分,血压13.0/8.0kPa。急性痛苦病容,轻度脱水征,巩膜无黄染,心肺无异常发现。腹部平坦,右下腹壁肌紧张,压痛明显,轻度反跳痛。肝脾未及,未扪及包块,无移动性浊音,肠鸣音 Patient male, 8 years old. Right lower quadrant pain with fever, cold 3 days admitted. Abdominal pain suddenly, severe pain, persistent dull pain, no radiation. Nausea, vomiting, vomit stomach contents. Check: body temperature 36 ℃, pulse 104 beats / min, breathing 24 beats / min, blood pressure 13.0 / 8.0kPa. Acute pain, mild dehydration sign, sclera no yellow dye, no abnormal heart and lung findings. Abdomen flat, right lower abdominal wall muscle tension, tenderness, mild rebound tenderness. Liver and spleen have not, not palpable mass, no mobility dullness, bowel sounds