患者,女,49岁,教师。腹痛、腹泻、粘血便一年余。平卧位时自己扪及右上腹约有鸭蛋大小硬物,有压痛。入院前2～3天全腹阵发性痛。入院行钡灌肠,见结肠肝曲钡剂受阻,不规则充盈缺损,细条状狭窄,结肠粘膜破坏中断。家族史见表。化验:血红细胞290万,血红蛋白8.5g%,白 Patient, female, 49 years old, teacher. Abdominal pain, diarrhea, sticky blood will be more than a year. When lying in a supine position, there were duck-sized hard objects on the right upper abdomen and there was tenderness. 2 to 3 days before admission, full-time abdominal pain. After admission to the hospital for barium enema, see the colonic liver toxin agent blocked, irregular filling defect, narrow strips narrow, colon mucosa destruction disrupted. Family history sees the table. Laboratory tests: 2.9 million red blood cells, 8.5g% hemoglobin, white