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男患,46岁,住院号:004578。1986年10月7日入院。腹痛、腹泻,近4年加重。自述于1964年施工时腹部砸伤致肠破裂,立即手术,术后肠粘连。先后肠梗阻9次,每次均以手术治疗。近4年来,腹胀明显,且阵发性隐痛,腹部寒凉,每日腹泻3～4次,进食油腻后加重,可达日十余次。贫血乏力,不欲食,心悸,失眠多梦。曾服多种中西药无效。检查:体温36.2℃,脉搏62次/分,血压134/90毫米汞柱。面色无华,形体消瘦,西医内科检查无明显异常。外科情况:腹部平坦,呼吸运动存在,未见蠕动波及肠型,腹壁可见手术瘢痕数条,剑突下
Male suffering, 46 years old, hospital number: 004578. October 7, 1986 admission. Abdominal pain, diarrhea, increased in the past 4 years. Self-described construction in 1964 abdominal injury caused by intestinal rupture, immediate surgery, postoperative intestinal adhesion. Bowel obstruction has 9 times, each with surgical treatment. The past 4 years, abdominal distension was obvious, and paroxysmal pain, cold abdomen, diarrhea 3 to 4 times daily, aggravating after eating greasy, up to more than ten times. Anemia, do not want to eat, heart palpitations, insomnia and more dreams. Have served a variety of Chinese and Western medicine is invalid. Check: body temperature 36.2 ℃, pulse 62 beats / min, blood pressure 134/90 mm Hg. No appearance, body weight loss, Western medicine examination no obvious abnormalities. Surgical conditions: flat belly, respiratory movement, there is no spread of peristalsis intestinal type, the number of surgical scar visible abdominal wall, under the xiphoid