患者女性,67岁,病案号123675,因饱餐后上腹痛伴恶心呕吐1天入院.腹痛呈持续性,伴阵发性加剧,以左上腹为著,并向腰背部放射.无胸闷、心前区疼痛、心悸、昏厥等.曾有慢性胆囊炎、冠心病心绞痛、高血压病史.查体:T36.6℃,BP20/14kPa.急性痛苦病容,皮肤及巩膜无黄染.双肺无干湿罗音.心界向左下扩大,心率80次/分,律齐、心尖区可闻及Ⅱ°收缩期杂音,左上腹肌紧张、压痛明显,无 Patient female, age 67, case number 123675, admitted to hospital after a full meal with abdominal pain and nausea and vomiting. Abdominal pain was persistent with paroxysmal exacerbation. The left upper abdomen was radiused to the lower back for radiotherapy. District pain, palpitations, fainting, etc. Have had chronic cholecystitis, coronary heart disease angina, history of hypertension. Physical examination: T36.6 ℃, BP20 / 14kPa. Acute pain and disease, skin and sclera no yellow dye. Luo Yin heart expanded to the left, heart rate 80 beats / min, law Qi, apical area can be heard and Ⅱ ° systolic murmur, left upper quadrant muscle tension, tenderness significantly, no