阑尾黏液囊肿二例
Chinese Journal of Clinicians(Electronic Edition)(2013)
Abstract
<正>病例1:患者女,38岁,因"转移性右下腹痛1天余"入院。查体:T 36.7℃,急性痛苦病容,腹平软,右下腹麦氏点处压痛及反跳痛,无肌紧张,未及包块,肝脾肋下未及,肝肾区无叩击痛,移动性浊音阴性,肠鸣音无亢进,未闻及气过水声。结肠充气试验(+),腰大肌试验、闭孔内肌试验阴性。辅助检查:腹部超声示:右下腹腹腔内混合回声团块;血常规示:白细胞9.9×109/L,N 86.8%。临床诊断:急性阑尾炎。术中见:腹盆腔少量渗液,阑尾位于盲肠前位,近根部扭曲,明显充血水肿,头体部呈囊肿
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