患者男 ,19岁 ,因左胸部及腹部疼痛、腹胀来诊。病人4天前感左胸部疼痛 ,因不影响日常劳动 ,未引起重视 ,且病人 3年来一直有左胸部疼痛史 ,均因能自行缓解 ,未到医院检查。体格检查 :病人一般情况可 ,神志清 ,查体合作 ,胸部外观正常 ,双肺呼吸音清 ,腹部对称 ,稍膨隆 ,叩呈鼓 Male patient, 19 years old, due to left chest and abdominal pain, bloating visit. The patient had left chest pain 4 days ago, which did not affect the routine work. She did not pay much attention to her. She had a history of left chest pain for 3 years, both of whom were able to relieve themselves and did not go to the hospital for examination. Physical examination: the general condition of the patient can be, clear consciousness, physical examination cooperation, the appearance of the chest is normal, lung breath sounds clear, abdominal symmetry, slightly bulging, knocking was drum