病例:患者,女,35岁。因“反复腹胀、恶心、呕吐2个月,加重1 d”入院。患者入院前2个月曾因呕吐,伴反酸、嗳气,腹胀,偶感上腹隐痛来我院急诊就诊,无发热,无不洁饮食史。急诊予奥美拉唑(商品名:奥克)、多潘立酮片(商品名:吗丁啉)、复方消化酶治疗2 d后无改善,并出现频繁呕吐,含胆汁,腹胀明显但无腹痛,查腹部B型超声(B超):胆囊多发结石、腹水。查血白细胞(WBC)、中性粒细胞及血淀粉酶显著升 Case: Patient, female, 35 years old. Because of “repeated bloating, nausea, vomiting 2 months, increased 1 d ” admission. 2 months before admission, patients had vomiting, with acid reflux, belching, bloating, occasional upper abdominal pain to our hospital emergency treatment, no fever, no history of dirty food. Emergency to omeprazole (brand name: Oak), domperidone tablets (brand name: domperidone), compound digestive enzymes after 2 d did not improve, and frequent vomiting, with bile, abdominal distension but no abdominal pain, check Abdominal B-mode ultrasound (B-ultrasound): gallbladder stones, ascites. Check white blood cells (WBC), neutrophils and serum amylase significantly increased