患者男,18岁,主诉上腹疼痛件恶心呕吐3天,以急性胃炎收入院。肌注阿托品和口服胃得安等无好转,反而加重并伴头晕。查体:体温36.7℃.脉搏38次/min,血压15/8kPa。咽无充血,扁桃体不大。双肺呼吸音清晰。心率38次/min,律齐,心音低钝,各瓣膜听诊区未闻及杂音。腹软,上腹部轻压痛,无反跳痛,肝脾未及。实验室检查;白细脑15.7×10~9/L,中性0.91。淋巴0.09。 Male patient, 18 years old, complained of abdominal pain nausea and vomiting for 3 days, with acute gastritis income hospital. Intramuscular injection of atropine and oral stability did not improve, but increased and accompanied by dizziness. Physical examination: body temperature 36.7 ℃. Pulse 38 times / min, blood pressure 15 / 8kPa. Pharyngeal without congestion, little tonsils. Breath sounds clear lungs. Heart rate 38 beats / min, law Qi, low heart sound blunt, the valve auscultation area did not smell and noise. Abdomen soft, mild tenderness on the abdomen, no rebound pain, liver and spleen not yet. Laboratory tests; white brain 15.7 × 10 ~ 9 / L, neutral 0.91. Lymph 0.09.