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患者男,40岁,湖南省石门县人,因“呕吐、胸痛伴气促1d”于2011年10月16日22∶30第一次入院。患者于2011年10月15日夜间无明显诱因出现呕吐3次,均为胃内容物,无咖啡色样液体,非喷射性,未予处理,10月16日上午开始出现右侧胸部疼痛,疼痛性质难以描述,疼痛逐渐加重,难以忍受,无放射痛,深吸气时感疼痛加重,意识逐渐转为模糊,当天晚上至我院急诊科就诊,查胸部X线片未见明显异常,腹部超声示轻度脂肪肝,心
Male, 40 years old, Shimen County, Hunan Province, due to “vomiting, chest pain with qi promote 1d ” at 22:30 on October 16, 2011 first admission. Patients on the night of October 15, 2011 no apparent incentive to vomit three times, are stomach contents, no brown liquid, non-spray, untreated, the morning of October 16 began to appear on the right chest pain, pain nature Difficult to describe, the pain gradually aggravated, unbearable, no radiating pain, deep breath when the sense of pain aggravated, consciousness gradually blurred, the evening to our hospital emergency department treatment, check chest X-ray showed no abnormalities, abdominal ultrasound Mild fatty liver, heart