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1985年以来,作者观察了来自印度农村的300余例急性腹痛患者,大多为5～15岁男孩。这些病人于4～7月中旬(气温36～48℃)以流行形式发病,已证实无家庭发病趋势,并排除坏死性肠炎。多数患者为素食者,其他家庭成员未受累。所有患者微生物学检查(包括腹泻者的粪便培养)均无阳性结果。所有患者均有急性脐周围剧烈绞痛,摄入任何食物(甚至喝一口水)可诱发腹痛,但服用解痉药及镇静剂后腹痛缓解。少数患者排带血稀便,偶有呕吐;多数有便秘。少数有发热、昏睡,多数有舌干燥。就诊前当
Since 1985, the authors observed more than 300 patients with acute abdominal pain from rural India, mostly boys aged 5-15. These patients in the 4 ~ mid-July (temperature 36 ~ 48 ℃) in the form of epidemic, confirmed that no trends in the incidence of family, and exclude necrotic enteritis. Most patients are vegetarians, other family members are not involved. There was no positive result in all patient microbiological tests, including stool culture in diarrhea. All patients had acute severe colic around the umbilicus, and any food (or even a sip of water) can induce abdominal pain, but relieved after taking antispasmodics and sedatives. A small number of patients with loose stool row, occasionally vomiting; most have constipation. Few have fever, lethargy, most have tongue dry. Before treatment