临床资料患者女性,40岁。患者于2013年11月10日晚餐食用鱼肉后觉得味道不对,未予重视,餐后2 h出现呕吐胃内容物3次,并解黄色稀水样便5~6次,自服止泻药物后腹泻症状好转,逐渐出现腹痛、腹胀、发热,体温最高39℃,伴有畏寒、寒战,2013年11月11日凌晨于当地医院就诊。当时查体:精神萎靡,腹胀,全腹散在压痛,无反跳痛,心 Clinical data Patients Female, 40 years old. Patients on November 10, 2013 after eating dinner fish feels bad, did not pay attention, 2 h postprandial appetite stomach contents 3 times, and solution of yellow water samples will be 5 to 6 times, since taking antidiarrheal drugs Diarrhea symptoms improved gradually abdominal pain, abdominal distension, fever, body temperature up to 39 ℃, accompanied by chills, chills, November 11, 2013 morning at a local hospital. At that time physical examination: apathetic, abdominal distension, the whole belly scattered tenderness, no rebound pain, heart