病史摘要陈某,女,37岁。住院号89346。因腹部阵发性绞痛伴发热、呕吐8个月,于1985年1月23日入院。患者于1984年5月22日晚上,突感左下腹疼痛,呈阵发性绞痛,伴恶心、呕吐,呕出胃内容物,并有畏寒发热(未测体温),自服去痛片,约4小时后症状缓解。次日夜间又发生左侧腰部阵发性绞痛,随之满腹疼痛,伴恶心呕吐及畏寒发热。当地卫生院疑诊急性阑尾炎,作阑尾切除术(手术记录不详)。术后上述症状仍反复出现,体温高达39℃,腹痛部位不固定,无放射痛,与饮食及体位无关,每月腹痛发作5～10次,每次持续3～4小时,可自行缓解。当地疑有肠粘连及尿路感染,给予庆大霉素治疗无效。近2月腹 Summary of medical history Chen, female, 37 years old. Hospital number 89346. Due to abdominal cramps with fever, vomiting for 8 months, January 23, 1985 admission. Patients in the evening of May 22, 1984, suddenly felt the left lower quadrant pain, paroxysmal angina, with nausea, vomiting, vomit the contents of the stomach, and chills and fever (not measured body temperature), self-service pain tablets , About 4 hours after the symptoms ease. Occur again the next night in the left side of the waist episodes of angina, followed by full of pain, with nausea and vomiting and chills fever. Local hospitals suspected acute appendicitis, appendectomy (surgical records unknown). After the above symptoms are repeated, the body temperature up to 39 ℃, abdominal pain is not fixed, no radiating pain, and diet and body position unremittingly, abdominal attack per month 5 to 10 times, each lasting 3 to 4 hours, can ease. Local suspected intestinal adhesion and urinary tract infection, given gentamicin treatment ineffective. Nearly 2 months abdomen