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患者男,53岁。自觉上腹部不适10d,突发上腹痛伴呕吐4h。患者于4h前无明显诱因出现上腹部持续性疼痛,伴心前区压迫感。多次呕吐,呕吐物为胃内容物及胆汁样物,大汗淋漓。胃纳差,大小便尚可,无发热。血压128/78mm Hg。脉搏85次/分。皮肤、粘膜无黄染,无皮下结节及皮疹,全身浅表淋巴结无肿大。血清AFP阴性。心电图检查:房性早搏。随意心绞痛收入心内科。既往体健,无类似病史,无牧区居住史。
Male patient, 53 years old. Consciously abdominal discomfort 10d, sudden abdominal pain with vomiting 4h. Patients with no obvious incentive 4h ago, persistent pain in the upper abdomen, with precordial pressure. Many vomit, vomit for the stomach contents and bile samples, sweating. Poor appetite, urine is acceptable, no fever. Blood pressure 128 / 78mm Hg. Pulse 85 beats / min. Skin, mucosa no yellow dye, no subcutaneous nodules and rash, systemic superficial lymph nodes without swelling. Serum AFP negative. ECG: atrial premature beats. Free angina income cardiology. Past physical health, no similar history, no pastoral areas of residence history.