1 临床资料 患者,女,64岁,间歇性腹痛、腹胀2年,加重3d伴恶心、呕吐、停止排便气,于2000年6月15日急诊入院。既往健康、无腹部外伤及手术史。查体:体温37.5℃、脉搏65次/min、血压120/90mm Hg。慢性病容、表情痛苦、脐上可见肠型,并可扪及一条索状肿块,随体位变化而活动伴压痛,无 1 Clinical data Patients, female, 64 years old, intermittent abdominal pain, abdominal distension 2 years, aggravating 3d with nausea, vomiting, stop the defecation, in June 15, 2000 emergency admission. Past health, no history of abdominal trauma and surgery. Physical examination: body temperature 37.5 ℃, pulse 65 times / min, blood pressure 120 / 90mm Hg. Chronic disease, facial expression pain, umbilical visible intestinal type, palpable and a cord-like mass, with changes in position and activity with tenderness, no