1　临床资料患者女,79岁。因肛门停止排气全腹部渐进性膨隆一周急诊入院。患者平素身体瘦弱,于40年前患有肺结核,曾多次咳痰,咯血。经抗结核治疗近20年来病情基本稳定。患者于10年前开始多次出现上腹部不适感。气胀、嗳气、乏酸等上消化道症状,同时伴有腹泻、便秘,去医院检查未 1 Clinical data Patient female, 79 years old. Because of the anus stop exhausted, full abdominal progressive bulging one week emergency admission. The patient was usually physically weak and had tuberculosis 40 years ago. He had had multiple coughs and had hemoptysis. The treatment of anti-tuberculosis has basically stabilized in the past 20 years. The patient started experiencing abdominal discomfort many times a decade ago. Gastrointestinal symptoms such as bloating, suffocation, and lack of acid, accompanied by diarrhea, constipation, go to hospital for examination