回盲部憩室炎误诊为急性阑尾炎伴穿孔1例报道
Journal of Logistics University of CAPF(2018)
Abstract
1 病例简介
1.1 现病史及体征
患者,男,37岁,因“间断下腹疼痛6d”主诉收住我科,6d前患者无明显诱因出现腹部疼痛,呈阵发性胀痛,以脐周及右下腹为主,无向远处放射,寒战、发热,体温最高达38.7℃,伴腹胀、食欲减退、恶心、呕吐,呕胃内容物,自服用“肠炎宁”“诺氟沙星胶囊”后无明显缓解,自发病以来,无腹泻、便秘,无黑便,无黄疸,无尿频、尿急、尿痛等症状,大小便均正常.查体:T36.2℃,R21次/min,P105次/min,BP139/92 mmHg(1 mmHg=0.1333 kPa),腹稍紧张,右下腹麦氏点压痛(++),反跳痛(+),移动性浊音(-),肠鸣音正常.既往体健,否认传染病史及药物过敏史.
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