患者,男33岁。主因全腹持续性疼痛24小时于1974年5月15日凌晨4点20分急诊入院。因当地医生误认肝脾大为“痞块”,于左右肋下及剑突下各扎一针,进针后即感腹部轻度刺痛,留针时痛蔓及全腹,起针后痛渐加重。伴恶心,呕吐、口渴。心悸,一年前曾赴上级医院诊为门脉高压症。体检:体温37.4℃,脉搏110次/分,血压140/90毫米汞柱,贫血状,神清,颈及前胸都可见散在蜘蛛痣、心尖区闻及Ⅱ级收缩期杂音,腹膨隆、剑突下、左右肋下 Patient, male, 33 years old. The main cause of persistent abdominal pain 24 hours at 4:20 on May 15, 1974 emergency admission. Due to the local doctors mistakenly identified liver and spleen as a “lump of the abdomen,” under the ribs and the xiphoid under each stab a needle, the needle after the sense of mild tingling of the abdomen, Gradually heavier. With nausea, vomiting, thirst. Palpitations, a year ago went to higher-level hospital diagnosed as portal hypertension. Physical examination: body temperature 37.4 ℃, pulse 110 beats / min, blood pressure 140/90 mm Hg, anemia, clear, neck and chest are scattered spider nevus, apex area smell and Ⅱ systolic murmur, abdominal bulging, sword Suddenly, left and right ribs