患者，男,32岁。急性阑尾炎穿孔术后1天，腹部 胀痛不适，呈持续性,伴恶心、呕吐，排便排气消 失。腹部检査见全腹膨胀，未见蠕动波，肠鸣音消 失，全腹均有压痛，轻度反跳痛。腹平片见小肠有 充气及液平面，据此拟诊断为（ ）。

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