1病历报告女,23岁。主因上腹部胀痛伴呕吐6 d、加重1 d入院。患者入院前6 d进食后出现上腹部疼痛,以中上腹为主,为持续性胀痛,无明显放射痛;伴恶心、呕吐,呕吐物为胃内容物,吐后腹痛可稍缓解;无寒颤、发热,无腹泻、便血,无心悸、憋气、呼吸困 1 medical records female, 23 years old. The main abdominal pain associated with vomiting with abdominal pain 6 d, increased 1 d admission. The patient had upper abdominal pain 6 days before admission, mainly in the middle and upper abdomen. It was persistent pain without obvious radiating pain. With nausea, vomiting and vomit were the contents of the stomach, abdominal pain was relieved slightly after vomiting. Chills, fever, no diarrhea, blood in the stool, no heart palpitations, suffocation, breathing difficulties