患者男性,50岁。阵发性腹痛10天,伴呕吐三次,近一周肛门不排便,不排气。七年前曾因阑尾穿孔腹膜炎行阑尾切除手术,体检:低热,急性痛苦而容,腹胀,见肠型,满腹压痛,肠鸣音阵发亢进伴气过水声,白血球12700/毫米~3,中性91％,二氧化碳结合力31.2％,腹腔穿刺出黄浑液 The patient is male, 50 years old. Paroxysmal abdominal pain for 10 days, with vomiting three times, nearly one week anal defecation, not exhaust. Seven years ago, appendectomy had been performed due to perforated peritonitis in the appendix. Physical examination included: low-grade fever, acute pain and tolerance, bloating, bowel type, full abdominal tenderness, bowel sounds, convulsions, hyperventilation, and over-water sounds, white blood cells 12700/mm~3. Neutral 91%, Carbon dioxide binding force 31.2%, Abdominal puncture