1.病例介绍 患者,男,56岁。以饮酒后感觉上腹部钝痛,呕吐胃内容物3天,尿少2天,于1997年9月20日收住院。入院时体检:体温37.6℃,脉搏106次/分,呼吸32次/分,血压 11/6KPa。神志清楚,表情淡漠,出冷汗。皮肤巩膜无黄染及出血点。肺部未见异常,心率106次/分。腹软,上腹部有压痛、反跳痛,移动性浊音阴性。膀胱无充盈,双肾区叩击痛阴性。肠鸣音减弱。 1. Case description Patient, male, 56 years old. After drinking to feel dull pain on the abdomen, vomiting stomach contents for 3 days, less urine for 2 days, on September 20, 1997 admitted to hospital. Physical examination on admission: body temperature 37.6 ℃, pulse 106 beats / min, breathing 32 beats / min, blood pressure 11 / 6KPa. Conscious, apathetic, cold sweat. Skin sclera without yellow dye and bleeding points. No abnormal lungs, heart rate 106 beats / min. Abdomen soft, tenderness on the abdomen, rebound tenderness, mobility dullness negative. No bladder filling, perineal area percussion pain negative. Bowel sounds weakened.