1临床资料患者男性,27岁,因持续腹痛、腹泻半月余入院。患者自诉4年前有“胰腺炎”病史,后出现血糖升高,平素未服药治疗。2012年10月20日起无明显诱因下出现腹部持续性钝痛,脐周痛为主,无放射痛,与体位及进食无关,病程中伴腹泻,一天数十次水样便,无腹胀,无恶心呕吐,无畏寒发热,无明显乏力等症状。体格检查:神清,精神可,皮肤巩膜无黄染,心肺阴性,全腹平软,脐周轻压痛,无肌卫及反跳痛,肝脾未及,Murphy征阴性,腹部未及包块,肠鸣音无亢进,移动性浊音阴性,双下肢轻度凹陷性浮 1 clinical data of patients male, 27 years old, due to persistent abdominal pain, diarrhea and more than a month admitted. Patient self-prosecution 4 years ago with “pancreatitis” history, after the rise in blood sugar, usually without medication. October 20, 2012 no obvious incentive to appear under the dull persistent dull pain, umbilical pain, no radiating pain, and posture and eating unrelated to the course of the disease with diarrhea, dozens of times a day watery stools, no bloating, No nausea vomiting, no chills fever, no obvious fatigue and other symptoms. Physical examination: God clear, the spirit can be, scleral no yellow dye, heart and lung negative, full belly soft, umbilical soft tenderness, no muscle and rebound tenderness, liver and spleen not, Murphy sign negative, abdomen and mass , Bowel sounds no hyperthyroidism, mobility dullness negative, mild depression of lower extremity floating