患者女,19岁,学生.15天前无诱因出现脐周痛,呈持续性钝痛,体温在37.5℃～39℃之间波动,无咳嗽及咳痰.近10天腹胀,以进食后明显,有时恶心呕吐胃纳物.有“肺结核”密切接触史.查体:T37.3℃,皮肤巩膜无黄染,心肺听诊无异常,腹柔韧感,脐周及右下腹压痛,未触及包块,肝脾未触及,移动性浊音阳性.血 Patient female, 19 years old, student .15 days ago no inducing umbilical pain, persistent dull pain, body temperature fluctuations between 37.5 ℃ ~ 39 ℃, no cough and sputum .In the past 10 days bloating, after eating obvious , Nausea and vomiting of appetizers .There is a "history of close contact with tuberculosis .Check the body: T37.3 ℃, scleral no yellow dye, no abnormal heart and lung auscultation, abdominal flexibility, umbilical cord and right lower quadrant tenderness, untreated mass , Liver and spleen not touched, mobility dullness positive