患者女性,65岁。无明显诱因出现脐周胀痛不适4天,呈阵发性隐痛,不向其他部位放射,伴恶心、呕吐1次,呕吐物为少量黄色液体,呕吐后腹痛缓解。起病以来未排气、排便,伴有发热,体温达38.2℃,无寒战、头晕、乏力。入院后予以灌肠、补液对症支持治疗,腹部胀痛无明显缓解。腹部CT示空肠远端粪石并肠梗阻,盆腔少量积液。血常规:白细胞计数16.01×109/L,中性粒细胞90.6%,钠、氯均低于正 Patient female, 65 years old. No obvious incentive to appear umbilical pain and discomfort for 4 days, was paroxysmal pain, not to other parts of the radiation, with nausea, vomiting, vomit for a small amount of yellow liquid, abdominal pain relief after vomiting. Since the onset has not exhaust, defecation, accompanied by fever, body temperature reached 38.2 ℃, no chills, dizziness, fatigue. After admission to enema, fluid symptomatic supportive treatment, no significant abdominal pain relief. Abdominal CT showed jejunal distal fecal and intestinal obstruction, a small amount of pelvic fluid. Blood: white blood cell count 16.01 × 109 / L, 90.6% of neutrophils, sodium, chlorine were lower than positive