袁某 ,男性 ,4 2岁 ,1 998年 6月 6日初诊。患者于 1个月前曾行阑尾切除术 ,术后胃部始终不适 ,食欲减弱 ,伴乏力。 6月 5日进食凉面后突然发生腹部胀痛 ,阵发性加剧 ,经注射杜冷丁 1 0 0 mg后仍无缓解 ,再予静脉滴注抗生素及对症解痉止吐治疗无效。诊见患者痛苦面容 ,腹膨隆硬 Yuan Mou, male, 42 years old, was newly diagnosed on June 6, 1998. The patient had undergone an appendectomy 1 month earlier. His stomach has been uncomfortable and his appetite has weakened with fatigue. On June 5, sudden abdominal pain occurred after eating cold noodles, and paroxysm increased. There was no remission after injection of 100 mg of metothenol. Intravenous instillation of antibiotics and symptomatic antispasmodic and antiemetic treatment were ineffective. See patient suffering face, abdominal bulging hard