1临床资料患者男,52岁,入院前3d无诱因出现左下腹及左侧腰骶部疼痛,向会阴部放射,并停止排气、排便,伴有腹胀,略反酸、烧心,无恶心及呕吐,无发热,无尿频、尿痛及血尿。患者既往有高血压、胆囊结石史。查体:一般状况可,全身皮肤未见皮疹及出血点,神清,双肺呼吸音清,心率71次/min,律齐。腹软,左下腹轻度压痛及触痛,左侧腰骶部皮肤有触痛,无反跳痛及肌紧张,未见胃肠型及肠蠕动,移动性浊音阴性,肠鸣音减弱,无气 1 Clinical data Male, 52 years old, three days before admission, there was no incentive left lower quadrant and left lumbosacral pain, radiation to the perineum and stop the exhaust, defecation, with bloating, slightly acid reflux, heartburn, no nausea and Vomiting, no fever, no urinary frequency, dysuria and hematuria. Patients with previous history of hypertension, gallstone history. Examination: The general condition can be, no skin rashes and bleeding body, Shen Qing, lung breath sounds clear, heart rate 71 times / min, law Qi. Abdominal soft, mild left lower quadrant tenderness and tenderness, the left lumbosacral skin tenderness, no rebound tenderness and muscle tension, no gastrointestinal and intestinal peristalsis, migratory voiced negative, bowel sounds weakened, no gas