An 11-year old boy without any medical history presented with a 4-day history of vomiting and abdominal pain,followed by appearance of fever and decreased energy.Physical examination showed a blood pressure of 90/60 m...An 11-year old boy without any medical history presented with a 4-day history of vomiting and abdominal pain,followed by appearance of fever and decreased energy.Physical examination showed a blood pressure of 90/60 mm Hg,a pulse rate of 120/min,a temperature of 40℃,oxygen satu-ration of 93%on air,and diffuse abdominal contracture.Laboratory values showed hyperleukocytosis(24,000/mm^(3)),hemoglobin of 15 g/L,prothrombin time of 48%,and creatinine of 127 mmol/L.An abdom-inal computed tomography(CT)showed a thick perforated appendix,an abundant intraperitoneal effusion,and pneumo-peritoneum.展开更多
文摘An 11-year old boy without any medical history presented with a 4-day history of vomiting and abdominal pain,followed by appearance of fever and decreased energy.Physical examination showed a blood pressure of 90/60 mm Hg,a pulse rate of 120/min,a temperature of 40℃,oxygen satu-ration of 93%on air,and diffuse abdominal contracture.Laboratory values showed hyperleukocytosis(24,000/mm^(3)),hemoglobin of 15 g/L,prothrombin time of 48%,and creatinine of 127 mmol/L.An abdom-inal computed tomography(CT)showed a thick perforated appendix,an abundant intraperitoneal effusion,and pneumo-peritoneum.
