男,55岁。1987年1月25日中午吃鱼时自觉有一鱼刺卡于咽部,后随饭吞下自服少许食醋,无何不适,以后进食无自觉症状,次日晚突发胸部刺痛,胸骨后最为明显,伴有灼热感,自觉全身发热,无恶心及呕血,进食时无刺痛,吞咽时有梗噎不适感,于1987年1月27日入院。体温37.2℃,脉搏98次,血压18/10kPa,无皮下气肿,胸骨无压痛,心肺听诊无 Male, 55 years old. January 25, 1987 noon fish when they consciously have a fish stuck in the pharynx, swallowed with rice after serving a little vinegar, no discomfort, after eating no symptoms, the next day chest thoracic pain burst, the sternum The most obvious, accompanied by burning sensation, consciously systemic fever, no nausea and hematemesis, no stinging when eating, swallowing a terrible discomfort, was admitted to hospital on January 27, 1987. Body temperature 37.2 ℃, pulse 98 times, blood pressure 18 / 10kPa, no subcutaneous emphysema, sternal no tenderness, cardiopulmonary auscultation