1病例简介患者女，75岁，于1996年3月20日住院。患者3个月来，上腹部出现阵发性胀痛，伴恶心，以进食后为著，在外院就诊时发现腹腔内肿物，未予重视。l天前出现全腹疼痛，伴恶心、心慌、无力。既往有高血压病史20年。体检：急性病容，精神弱，失血貌，血压90／60mmHs，脉搏116 Case Description Female patient, 75 years old, was admitted to hospital on March 20, 1996. In the past 3 months, the patient had paroxysmal pain in the upper abdomen and had nausea. After eating, she was found to have intraperitoneal masses when she was seen in the external hospital. l The pain in the entire abdomen appeared a few days ago with nausea, palpitation, and weakness. There was a history of hypertension in the past 20 years. Physical examination: acute disease, weak spirit, blood loss appearance, blood pressure 90/60mmHs, pulse 116