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患者男性,21岁。因右上肺结核于1980年11月27日入院。体检无明显阳性体征,血、尿、便常规正常。给以异烟肼(INH)0.3g/日,链霉素(SM)1.0g/日,12月3日加对氨基水杨酸钠(PAS)6.0g/日,12月12日加至9.0g/日。12月16日早餐后1小时许,患者无明显诱因突感右中、下腹痛,伴恶心,查右下腹轻压痛。当日下午小便1次,量约40ml,尿呈碱性,化验正常;末梢血象:白细胞13600,中性79％,淋巴18％,酸性2％,单核1％,给以对症治疗。此后一直呈不定点阵发性腹痛,每次发作绞痛样,腹胀渐趋明显,呕吐4次,量不多,先为胃内容物,后为胆汁,无大便和肛门排气。查腹
Patient male, 21 years old. Because of the right upper pulmonary tuberculosis in November 27, 1980 admission. No significant positive physical examination, blood, urine, then normal. To INH 0.3g / day, streptomycin (SM) 1.0g / day, December 3 plus sodium para-aminosalicylate (PAS) 6.0g / day, December 12 to 9.0 g / day. December 16 1 hour after breakfast, patients with no obvious incentive for sudden senses, lower abdominal pain, with nausea, check the right lower abdomen soft tenderness. Urine on the afternoon of the same day, the amount of about 40ml, urine was alkaline, the test was normal; peripheral blood: white blood cells 13600, 79% neutral, lymphatic 18%, acid 2%, mononuclear 1%, to symptomatic treatment. Since then has been indefinite point paroxysmal abdominal pain, each episode of angina-like, abdominal distension became apparent, vomiting 4 times, a small amount, the first stomach contents, after bile, no stool and anal exhaust. Check the abdomen