1病历简介女性病人,88岁。体重35kg。因反复阵发性脐周腹痛6d加剧伴呕吐1d于2008年7月入院。2年前有右斜疝无张力修补术史,否认支气管炎、肺气肿等慢性病史。查体:腹部饱满,未见明显胃肠型及蠕动波,腹股沟未见突出肿块,全腹压痛,以脐周明显;无肌卫及反跳痛,全腹未及明显包块;肝肾区无叩痛,移动性浊音阴性,肠鸣音活跃,可闻及 1 medical records female patient, 88 years old. Weight 35kg. Due to recurrent paroxysmal umbilical abdominal pain intensified with vomiting 6d 1d in July 2008 admitted. 2 years ago there is tension-free repair of right hernia history, denied bronchitis, emphysema and other chronic medical history. Physical examination: full abdomen, no obvious gastrointestinal type and peristaltic waves, groin no prominent mass, full abdominal tenderness, obvious to the umbilical cord; no musculus and rebound tenderness, the whole abdomen and not significantly mass; liver and kidney area No percussion pain, mobility voiced negative, bowel sounds active, can be heard