1临床资料患者,男,67岁,农民。因被毒蛇咬伤3d、中上腹胀痛2d入院。患者于3d前在山上劳动时左踝部被毒蛇“竹青叶”咬伤,感咬伤部位剧烈疼痛,至当地蛇伤治疗中心住院治疗,予抗蛇毒血清、口服及外敷蛇药等对症处理。1d后出现中上腹持续性胀痛,阵发性加剧,无放射痛,伴恶心、呕吐。既往无胆石症、血脂异常、原发性高血压病史,1周内无暴饮暴食及饮酒史。入院体检:血压135/82 mmHg(1 mmHg= 1 clinical data patients, male, 67 years old, farmer. 3d was bitten by a poisonous snake, abdominal pain in 2d admission. Patients in the mountains before the 3d labor when the left ankle was poisonous snake “bamboo leaves ” bitten, feeling biting painful site, to the local snakebite treatment center for hospital treatment, anti-snake venom serum, oral and topical snake medicine Symptomatic treatment. After 1d appeared in the abdomen persistent pain, paroxysmal increase, no radiating pain, with nausea, vomiting. Past no cholelithiasis, dyslipidemia, history of essential hypertension, no binge eating and drinking history within 1 week. Admission examination: blood pressure 135/82 mmHg (1 mmHg =