1病例资料患者,男,46岁,因突发上腹部疼痛7h入院,呈剑突下针扎样刺痛,阵发性加剧,与改变体位无关,不向他处放射,伴恶心、呕吐,呕吐物初为胃内容物,后为黏液,伴腹泻2次,为黄色水样大便,无其他不适症状。既往有心房颤动(房颤)病史多年,无明显不适,未服药。高血压病史3年,血压最高达210/120mmHg(1mmHg=0.133kPa)。入院体检:T 36.4℃,P 110次/min,R 20次/min,BP 1 case data, male, 46 years old, admitted to hospital due to sudden upper abdominal pain 7h, was hypodermic needle puncture like tingling, paroxysmal aggravate, nothing to do with the change of position, not to radiation elsewhere, with nausea and vomiting, Vomit initially stomach content, after the mucus, with diarrhea 2 times, for the yellow water stool, no other symptoms. Past history of atrial fibrillation (atrial fibrillation) for many years, no obvious discomfort, not taking medicine. 3 years history of hypertension, blood pressure up to 210 / 120mmHg (1mmHg = 0.133kPa). Admission examination: T 36.4 ℃, P 110 times / min, R 20 times / min, BP