患者为男性,50岁,农民。于1980年10月4日突然脐周及上腹部隐痛,继而转为阵发性剧烈绞痛,伴有恶心、呕吐和腹泻;入院前1d出现果酱样大便,以出血性小肠炎急诊入院。体检:急性重病容,整个腹部均有压痛,以右侧为甚,腹肌紧张,有明显反跳痛,未扪及明显包块。实验室检查:血 Patient is male, 50 years old, farmer. On October 4, 1980 suddenly umbilical cord and upper abdominal pain, and then converted to paroxysmal severe colic accompanied by nausea, vomiting and diarrhea; admission 1d before the emergence of jam-like stool to hemorrhagic enteritis emergency admission. Physical examination: acute serious illness, the entire abdomen are tenderness, to the right is even more, abdominal muscle tension, a clear rebound pain, palpable mass was not palpable. Laboratory tests: blood