患者,男,9岁.因腹痛3天,加重1天,伴呕吐、发热、停止排气、排便收入院.患儿于3天前上课时突然出现脐周部疼痛,阵发性.能忍受,5小时后转移至右下腹,持续性,无放射.开始时无恶心、呕吐,无发热.去当地医院诊断为阑尾炎,行消炎(青霉素、庆大霉素)治疗,腹痛未减轻.1天前右下腹痛加重,并波及全腹,发热,38℃左右.恶心,呕吐10余次,为肖内容物.腹胀,未排气及大便,入院治疗. Patients, male, 9 years old. Due to abdominal pain for 3 days, aggravating one day, accompanied by vomiting, fever, stop the exhaust, defecation admitted to hospital .In children with sudden umbilical pain, paroxysmal 3 days ago class. , 5 hours after the transfer to the right lower quadrant, persistent, non-radiation.No nausea, vomiting, no fever at the beginning.Go to the local hospital for appendicitis, anti-inflammatory (penicillin, gentamicin) treatment, abdominal pain did not reduce .1 days Before the right lower quadrant pain aggravated, and spread to the whole abdomen, fever, about 38 ℃ .Nausea, vomiting more than 10 times, Shaw content. Bloating, no exhaust and stool, admission treatment.