1临床资料1.1病史患者,女36岁,因“上腹痛伴恶心、呕吐1d”入院。入院前1d出现上腹部疼痛,呈持续性钝痛,且进行性加剧,可放射至腰背部,伴恶心、呕吐胃内容物数次,不含血性物及胆汁,无畏冷、发热、排血便。门诊查血淀粉酶:596.7IU/ 1 clinical data 1.1 history of patients, female 36 years old, because of “abdominal pain with nausea, vomiting 1d ” admission. 1d before admission to the upper abdominal pain, persistent dull pain, and progressive increase, can radiate to the back, with nausea, vomiting, stomach contents several times, non-bloody and bile, fearless cold, fever, bleeding. Outpatient check blood amylase: 596.7IU /