患者：女，50岁。因上腹饱胀、返酸、呕吐20天，加重3天，于1997年4月15日以溃疡病急性发作入院。既住有消化性溃疡病史2年，平素无心慌、气急，无咳嗽及外伤史。体检：神志清楚，表情痛苦，贫血貌，皮肤弹性差，心脏体检无异常，左下肺呼吸音减弱，双肺无干湿性罗音。腹平、软 Patient: Female, 50 years old. Because of the fullness of the abdomen, back to acid, vomiting for 20 days, aggravating 3 days, on April 15, 1997 with acute onset of ulcer disease admission. Both living history of peptic ulcer 2 years, usually no palpitation, shortness of breath, no history of cough and trauma. Physical examination: Consciousness, facial expression pain, anemia appearance, skin elasticity is poor, no abnormal heart examination, lower left lung breath sounds weakened, lung wet and dry rales. Abdomen flat, soft