患者，男，45岁，图-154机长，飞行时间6000h。1992年7月中旬无诱因出现右下腹隐病，晚间平卧位时疼痛明显，仅服解痉剂及抗炎药物，疼痛时轻时重，二周后出现发热，体温最高38．3℃，仍坚持飞行。反复腹痛伴发热、明显乏力、纳差于1992年8月31日入院。查体：体温37．5℃，右下 Patient, male, 45 years old, Captain Tu-154, flight time 6000h. In the middle of July 1992, there was no incentive to have a right lower abdominal recession. In the evening supine position, the pain was obvious. She only took the expectorant and anti-inflammation drugs. The pain was light and heavy. After two weeks, fever occurred and the body temperature was highest at 38.3°C. Still insist on flying. Repeated abdominal pain with fever, apparent weakness, and poor appetite were admitted on August 31, 1992. Physical examination: body temperature 37.5°C, lower right