1　病历摘要患者女 ,16岁 ,学生。因腹胀、腹痛 2个月 ,发热 1个月于 1995年 10月 14日入院。患者于 1995年 8月中旬无诱因腹胀 ,持续上腹灼痛 ,自服止痛药不缓解 ,9月中旬腹胀加重 ,腹痛转为全腹性 ,午后发热 ,体温 37～ 39℃。外院各项检查均未明确诊断 ,抗感染、抗痨及激素 1 medical record Summary Female patient, 16 years old, student. Due to abdominal distension, abdominal pain for 2 months, 1 month fever on October 14, 1995 admission. Patients in mid-August 1995 induced no evidence of abdominal distension, sustained abdominal pain, self-service painkillers do not ease, abdominal distension increased in mid-September, abdominal pain into the whole abdomen, afternoon fever, body temperature 37 ~ 39 ℃. Outside the hospital are not clear diagnosis of the inspection, anti-infection, anti-tuberculosis and hormones