患者男 ,2 6岁。 6d前下腹胀 ,停止排便 ,有排气 ,无腹痛 ,无呕吐 ,无肛门疼痛 ,无腹股沟肿块。次日到当地医院就诊 ,近 4d来症状无缓解 ,有发热 ,无畏寒 ,1d来下腹阵发性绞痛 ,伴恶心呕吐 ,吐出胃内容物 ,量不多 ,遂来我院急诊。体格检查 :体温 37 8℃ ,脉搏 6 8次 /min ,脱水 Male patient, 26 years old. 6d before the next abdominal distension, stop defecation, there is exhaust, no abdominal pain, no vomiting, no anal pain, no groin mass. The next day to the local hospital for treatment, the past 4d to ease the symptoms, fever, no chills, 1d to lower abdominal paronycrosis, with nausea and vomiting, spit out the contents of the stomach, small amount, then to our hospital emergency room. Physical examination: body temperature 378 ℃, pulse 6 8 times / min, dehydration