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1病历摘要:女,53岁。剑突下疼痛2 h而入院,疼痛向背部放射,伴恶心、呕吐(呕吐物为胃内容物)。无胸闷,呼吸困难,咯血,抽搐。既往体检。体检:BP 130/80 mm Hg,神志清楚,急性痛苦貌,口唇无发绀,双肺呼吸音清晰,无啰音。心界无扩大,HR 78次/min,律齐,无杂音。腹软,剑突下压痛,无反
1 medical records summary: female, 53 years old. The sphincter of pain 2 h and admission, pain radiating to the back, with nausea, vomiting (vomit for the stomach contents). No chest tightness, dyspnea, hemoptysis, convulsions. Previous physical examination. Physical examination: BP 130/80 mm Hg, conscious, acute painful appearance, no cyanosis of lips, clear breath sounds of both lungs, no rales. Heart without expansion, HR 78 times / min, law Qi, no noise. Abdomen soft, under the xiphoid tenderness, no objection