病例资料患者,女,48岁。因全腹痛12 h入院。疼痛呈持续性钝痛,伴腹胀、发热,恶心、呕吐2次,呕吐物为胃内容物。患者有“系统性红斑狼疮(SLE)、类风湿病”史约5年,长期服用强的松(10 mg/d)。查体:T 37.8℃,生命体征平稳;急性病容,全身可见散在紫癜,未见出血点;浅表淋巴结无肿大;腹部平坦,未见胃肠形及蠕动波,全腹压痛明 Case information patients, female, 48 years old. Due to full abdominal pain 12 h admission. Pain was persistent dull pain, with bloating, fever, nausea, vomiting 2 times, vomit for the stomach contents. Patients had “systemic lupus erythematosus (SLE), rheumatoid arthritis” for about 5 years and long-term prednisone (10 mg / d). Physical examination: T 37.8 ℃, stable vital signs; acute disease, systemic purpura was seen, no bleeding; superficial lymph nodes without swelling; flat abdomen, no gastrointestinal and peristaltic waves,