1病历摘要患者,男,16岁,学生。以腹痛、腹泻4月余,伴尿频、进行性消瘦2月,加重10d于2004年8月9日以腹泻、尿频原因待查收入院。患者4个月前无明显诱因出现腹部钝痛,呈陈发性,以脐周为主。腹泻呈水样稀便,5～10次/d不等,便后腹痛稍减轻,无脓血及里急后重感,伴乏力,食欲明显减退 1 patient summary patient, male, 16 years old, student. To abdominal pain, diarrhea more than 4 months, with frequent urination, progressive weight loss in February, increased 10d on August 9, 2004 to diarrhea, frequent urination to be admitted to hospital. 4 months before the patient had no obvious incentive to abdominal dull pain, was Chenfa, mainly in the umbilical weeks. Diarrhea was loose stools, 5 to 10 times / d, then slightly reduced after abdominal pain, no abscess and tenesmus, with fatigue, loss of appetite was significantly reduced