患者,女,72天。因腹部膨隆10天,加重3天,于1987年1月15日入院。足月,顺产,双胎,男婴健在。患女曾因上呼吸道感染于1月半前住院治疗。查体:体温36.7℃,呼吸40次/分,急性重病容,神清,全身皮肤苍白,浅表淋巴结不肿大,唇发绀,双肺呼吸音粗糙,心率140次/分,律齐,腹胀如鼓,可见腹壁静脉,肝下界达髂窝,质硬,表面光滑,脾平脐。实验室检查:白细胞32.4×10~9/L,中性14％,淋巴83％,酸性3％,大便常规阴性,腹部平片见右下腹 Patient, female, 72 days. Due to swelling of the abdomen 10 days, aggravating 3 days, January 15, 1987 admission. Full-term, spontaneous, twin, baby boy alive. Women suffering from upper respiratory tract infection in January before half a year hospitalization. Physical examination: body temperature 36.7 ℃, breathing 40 beats / min, acute severe disease, Shen Qing, body pale, superficial lymph nodes, lips cyanosis, lungs rough breathing sounds, heart rate 140 beats / min, law Qi, abdominal distension Such as drums, abdominal veins can be seen, the lower limit of the iliac fossa, hard, smooth surface, spleen and umbilical cord. Laboratory tests: WBC 32.4 × 10 ~ 9 / L, neutral 14%, lymphatic 83%, acid 3%, stool routine negative, abdominal plain film see the right lower quadrant