病历摘要于某,男,72岁,因胸闷、气短、呼吸困难2天伴意识不清发作入院。2天前家人为其祝寿,饮白酒少许后开始出现上腹胀满、食欲不振、胸闷、气短,继之出现呼吸困难,并逐渐加重,不能平卧,极度疲乏无力。上腹疼痛,较剧烈,呈持续性阵发性加重,向腰背部放射。伴恶心、呕吐2次,均为胃内容物。无发热、头痛、咳嗽、 Medical history Abstract In a, male, 72 years old, due to chest tightness, shortness of breath, difficulty breathing for 2 days with confusion episodes admission. 2 days ago, the family for their birthday, drink a little after the onset of upper abdominal distention, loss of appetite, chest tightness, shortness of breath, followed by breathing difficulties, and gradually increased, can not lie down, extremely tired and weak. Abdominal pain, more intense, persistent paroxysmal aggravating radiation to the lower back. With nausea, vomiting 2 times, are stomach contents. No fever, headache, cough,