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患者,男,17岁,因“转移性右下腹痛1d”急诊入院。查体:腹肌稍紧张,未见明显肠形及蠕动波,右下腹麦氏点内上方压痛、反跳痛阳性,移动性浊音阴性,听诊肠鸣音稍弱。辅检:白细胞计数12.7×109/L,中性71.3%。入院后诊断为急性阑尾炎,行急诊手术治疗。术中见:末端回肠系膜到屈氏韧带?
Patient, male, 17 years old, admitted to hospital due to “metastatic right lower abdominal pain 1d”. Physical examination: a little nervous abdominal muscles, no significant intestinal and peristaltic wave, the lower right lower quadrant McMahon points within the tenderness, rebound pain positive, negative voiced negative, auscultatory bowel sounds weaker. Auxiliary examination: white blood cell count 12.7 × 109 / L, neutral 71.3%. After admission, the diagnosis of acute appendicitis, emergency surgery. See intraoperative: terminal ileum to the Tuina ligament?