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患者４９岁。因持续性上腹痛１ｈ伴呕吐数次，于１９９７年１１月１７日晚９时急诊入院于内科。患者平素身体健康。查体：Ｔ３７℃，Ｐ８０次／分，Ｒ２０次／分，ＢＰ１６／１０ｋＰａ；神清，痛苦面容；心肺无异常；上腹偏右压痛明显，Ｍｕｒｐｈｙ征（＋），下腹肌紧张...
The patient is 49 years old. Due to persistent upper abdominal pain 1h with vomiting several times, at 9 o’clock on the November 17, 1997 emergency admission to the hospital. Patients usually healthy. Physical examination: T37 ℃, P80 beats / min, R20 beats / min, BP16 / 10kPa; God clear, painful face; no abnormal heart and lung; right upper quadrant right tenderness significantly Murphy sign (+), lower abdominal muscle tension ...