患儿男,7岁,无诱因持续性左上腹痛四小时,尚可忍受,无发热,无恶心呕吐,无腹泻或便秘。既往有时腹痛,曾诊断为肠痉挛,肠蛔虫病等,均一般性对症治疗或自然缓解。查体:精神尚可,步入诊室,瘦小体型,喜左侧卧位,痛苦状,无呼吸困难,左胸廓Ⅲ、Ⅳ肋间以下较饱满,叩诊鼓音,心音低,腹呈舟状,未见肠型及蠕动波,无固定压痛,无明显肌紧张,无反跳痛,未触到包块,肠鸣弱。白细胞1.1×10~9/L嗜中性 Male child, 7 years old, without cause persistent left upper quadrant pain for 4 hours, tolerable without fever, no nausea and vomiting, no diarrhea or constipation. Previously sometimes abdominal pain, had been diagnosed as intestinal spasm, intestinal ascariasis, etc., are generally symptomatic treatment or natural relief. Check the body: the spirit can still, enter the clinic, thin body type, like the left lateral position, pain-like, no breathing difficulties, left thoracic III, IV more full below the intercostal space, percussion drum sound, low heart sound, No intestinal and peristaltic waves, no fixed tenderness, no significant muscle tension, no rebound pain, did not touch the mass, weak bowel. Leukocytes 1.1 × 10 ~ 9 / L neutrophilic