病历:病人,女,34岁,因患呼吸道感染3周而就医。认为胸骨后疼痛是牵拉肌肉所致,病情逐渐变坏,在入院前一周出现上腹痛和呕吐并昏厥两次,4年前曾诊为血清反应阳性风湿性关节炎,单用荼普生治疗。检查:无紫绀,颈静脉压正常,血压10.7/8kPa,脉率110/min,心音和呼吸音正常,腹触 Patient, female, 34 years old, hospitalized for respiratory infection for 3 weeks. That post-sternal pain is caused by pulling the muscles, the condition gradually deteriorated, appeared in the week before admission, abdominal pain and vomiting and fainting twice, 4 years ago was diagnosed with seronegative rheumatoid arthritis, . Check: no cyanosis, normal jugular venous pressure, blood pressure 10.7 / 8kPa, pulse rate 110 / min, heart sounds and breath sounds normal, abdominal touch