患者女性,48岁,腹痛12h于1989—07—08中午急诊入院,入院时昏睡,呈重度休克。查体:腹部膨胀,肠鸣消失。心脏无杂音,心率160次/分,血压8/0kPa。血常规:白血球11.2×10~9/L,中性89％,淋巴11％,红血球3.9X10~(12)/L,血红蛋白11.2g。腹部仰卧位照片显示(见图):胃、小肠明显胀气,空、回肠中度扩张,肠壁增厚,中上腹胀气肠管粘膜呈鱼骨样排列。中下腹扩张肠管呈半环状盘绕在腹腔内,即可见蜷曲肠襻征,结肠无气影。因病情急重,不允许 A 48-year-old woman with abdominal pain at 12h was admitted to the hospital at noon on July 8, 1989 and was drowsy on admission and was severely shocked. Physical examination: abdominal swelling, bowel disappeared. Heart no noise, heart rate 160 beats / min, blood pressure 8 / 0kPa. Blood: white blood cells 11.2 × 10 ~ 9 / L, 89% neutral, lymph 11%, red blood cells 3.9X10 ~ (12) / L, hemoglobin 11.2g. Abdomen supine position photograph shows (see picture): Stomach, small intestine obvious flatulence, empty, moderate ileum dilatation, thickening of the intestinal wall, midbrain flatulence intestinal mucosa were fishbone-like arrangement. In the lower abdominal dilatation of the intestine was semi-circular coil in the abdominal cavity, you can see curled up bowel syndrome, no air shadow of the colon. Due to serious condition, not allowed