1病例报告例1,患者,男,53岁,工人。因腹痛、黑便、乏力2d入院。入院时体格检查:神清,慢性痛苦病容,口唇和甲床苍白,心率100次/min,律齐,各瓣膜听诊区未闻及病理性杂音,双肺呼吸音略粗,未闻及干、湿性啰音,无腹壁静脉曲张,腹软,无肌卫,肝脾肋下未能满意触及,剑突下触痛阳性,血压 1 case report 1 patients, male, 53 years old, workers. Due to abdominal pain, melena, fatigue 2d admission. Admission physical examination: Shen Qing, chronic pain, pale lips and a bed, heart rate 100 beats / min, law Qi, the valve auscultation area has not heard of pathological murmur, lung breath sounds slightly coarse, did not smell and dry, Wet rales, no abdominal varicose veins, abdominal soft, no muscle, liver and spleen ribs were not satisfied with the touch, the xiphoid tenderness under the positive, blood pressure