单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2021/10/10,*,CASEREPORT,DepartmentofGeneralSurger,May12th,2016,2021/10/10,1,Medical Records for Admission,Name：,Sex:fem,ale,Age:,31,Registration,N,o,.:,Date of admission,：,2021/10/10,2,Chief compliant,Two months after appendicectomy,；,R,ecurrent abdominal pain associated with fever,for one month,2021/10/10,3,Present history 1,right ventral abdominal pain,，,2 months ago,appendicectomy in Hongkong,abdominal pain associated with fever,for one month,maximum body temperature,up to 38.9,2021/10/10,4,There are no similar diseases in his family,Family History,2021/10/10,5,right low abdominal pains tenderness,（,+,）、Rebound tenderness（,+,）,;,Physical Examination,2021/10/10,6,B,lood routine,21-Apr,29-Apr,4-May,8-May,10-May,WBC,14.37,12.3,10.34,14.61,9.42,X109/L,3.5-9.5,NEUT%,82.4,83.3,85.5,88.7,84.1,%,40-75%,RBC,4.82,4.8,4.74,4.49,4.36,X1012/L,3.8-5.1,HB,110,114,112,106,103,g/L,115-150g/L,PLT,398,373,389,413,370,X109/L,125-350X109/L,2021/10/10,7,urine routine,LEU,3+,-,UWBC,44.3,/ul,0-23/ul,URBC,8.4,/ul,0-18/ul,EC,4.8,/ul,0-3/ul,BXBGBSY,8,/HPF,0-5,个,/HP,HXBGBSY,1.5,/HPF,0-3,个,/HPF,4/21,2021/10/10,8,coagulation function,PT,15.3,s,10-14s,INR,1.33,APTT,37.9,s,23-35s,TT,18.2,s,14-21s,FBG,3.72,g/L,1.7-4.5g/L,2021/10/10,9,Liver function test,4/21,TP,67.5,g/L,65-85g/L,ALB,34.1,g/L,40-55g/L,ALP,51.8,U/L,35-100U/L,GGT,23.2,U/L,7-45U/L,ALT,6.9,U/L,7-40U/L,AST,12,U/L,13-35U/L,2021/10/10,10,Tumor marker,4/7,AFP,11.2,ng/ml,0.89-8.78ng/ml,CEA,0.48,ng/ml,0-10ng/ml,CA125,22.1,U/mL,0-35U/mL,CA153,5.5,U/mL,0-28U/mL,CA199,7.5,U/mL,0-37U/mL,2021/10/10,11,LAB FINDINGS,I,mageological examination,:,1,、肝胆胰脾、双肾输尿管、膀胱、子宫、附件无殊。,2,、右下腹非均质性包块。,ESR,24,mm/h,0-20mm/h,2021/10/10,12,CT,Description,：,右侧回盲部见斑片状软组织密度影及条索影，边缘毛糙，约,29x43mm,，增强明显不均匀强化，内低密度坏死去无强化，右侧腹壁下见略不规则环形强化影。阑尾区少量积气，见高密度结石夹留置，呈术后改变，周围见多个稍大淋巴结，增强明显强化。,2021/10/10,13,CT,1,、阑尾术后改变并回盲部、阑尾周围脓肿，建议治疗后复查；,2,、阑尾周围多发淋巴结影；,3,、肝右叶后上段不典型小血管瘤多考虑，随访；,4,、阴道穹窿部少量积液，请结合临床考虑。,2021/10/10,14,2021/10/10,15,D,iagnosis,1.,appendicitis after appendectomy,2.Abdominal Abscess,2021/10/10,16,Discusion,：,further treatment,?,2021/10/10,17,畅想网络,Imagination,Network,感谢观看！,文章内容来源于网络，如有侵权请联系我们删除。,2021/10/10,18,