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患男,20岁。因发热,右下腹疼痛伴恶心、呕吐1d于1992年6月6日入院。体检:体温38.5℃,脉搏98次/min,呼吸19次/min,血压16/10.5kPa,心肺无异常。腹软,右下腹麦氏点处压痛,反跳痛,肠鸣音正常。周围血白细胞计数12.5×10~9/L,中性0.84,淋巴0.16,尿常规阴性。诊断:急性阑尾炎。 入院后静滴0.2％甲硝唑液250ml,2次/d,氨苄青霉素3.0+0.9％氯化钠溶液500ml,2次/d。3d后,患者出现尿频,尿颜色变红。查体无异常。尿呈淡洗肉水样,镜检红细胞(++++),静脉肾盂造影显示欢肾及输尿管正常。
Suffering from men, 20 years old. Due to fever, right lower quadrant pain with nausea, vomiting 1d on June 6, 1992 admission. Physical examination: body temperature 38.5 ℃, pulse 98 beats / min, breathing 19 times / min, blood pressure 16 / 10.5kPa, no abnormal heart and lung. Abdomen soft, right lower quadrant at the McNamara point tenderness, rebound tenderness, bowel sounds normal. Peripheral blood leukocyte count 12.5 × 10 ~ 9 / L, neutral 0.84, lymph 0.16, urine negative. Diagnosis: acute appendicitis. After admission intravenous infusion of 0.2% metronidazole solution 250ml, 2 times / d, ampicillin 3.0 + 0.9% sodium chloride solution 500ml, 2 times / d. After 3 days, the patient developed frequent urination and the urine color turned red. No abnormalities in the examination. Urine was light wash meat water samples, microscopic examination of red blood cells (++++), intravenous pyelography and kidney and ureter showed normal.