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1病历摘要男,47岁。阵发性上腹疼痛2 d,呕吐2次,为胃内容物。无胸闷及心前区疼痛。腹痛每天发作3~4次,每次持续6~7min,呈闷痛,无放散。以“胃炎”治疗无效。查体:T 36℃,BP150/105 mm Hg(1 mm Hg=0.133 kPa),P 60次/min。神清合作,两肺(-)。心界无扩大,心音低,心律齐,无杂音。腹部平软,全腹无压痛、反跳痛及肌紧张。肝、脾肋下未触及。心电图示:V1~V3呈QS型,V4呈QR型,ST V1~V3弓背向上抬
1 medical record male, 47 years old. Paroxysmal abdominal pain 2 d, vomiting 2 times, as the stomach contents. No chest tightness and precordial pain. Abdominal pain attack 3 to 4 times a day, each lasting 6 to 7min, was boring pain, no dissipation. To “gastritis ” treatment is invalid. Examination: T 36 ℃, BP150 / 105 mm Hg (1 mm Hg = 0.133 kPa), P 60 times / min. Clear cooperation, both lungs (-). No expansion of the heart, low heart sound, heart Qi Qi, no noise. Abdomen soft, full no tenderness, rebound tenderness and muscle tension. Liver, spleen ribs untouched. ECG shows: V1 ~ V3 was QS type, V4 was QR type, ST V1 ~ V3 bow back up