患者，女，53岁，1999-10-23入院。7年前出现多尿、多饮、多食、消瘦、全身乏力等症状，半年前始无明显诱因出现左上腹隐痛，进餐后加重，并向左肩背部放散，未行系统治疗。近1个月来左上腹痛加重、伴有恶心、呕吐、频繁呕吐出胃内容物，在当地医院按糖尿病酮症酸中毒治疗无效 Patient, female, 53 years old, admitted to hospital on October 10, 1999. 7 years ago, polyuria, polydipsia, more food, weight loss, malaise and other symptoms, no obvious incentive to appear six months ago left upper abdomen pain, aggravate after meal, and to the left shoulder dorsal sprain, without systematic treatment. Nearly 1 month left upper abdominal pain aggravated, accompanied by nausea, vomiting, frequent vomiting stomach contents, in the local hospital by diabetic ketoacidosis treatment is invalid