病历摘要 患者,男,59岁。因腹痛3天于1988年11月29日入院。于3天前,无任何诱因,突感左上腹疼痛,为持续性疼痛,进行性加重,渐波及全腹,不放射,无恶心、呕吐。低热、无寒战,无血尿,伴头晕,周身无力。无腹泻、血便,收入院。一年前有腹部外伤史,否认传染病史及药物过敏史。查体:T37.8℃,P100次,R22次,BP13/9.3kPa。发育正常,营养一般,神志清楚,痛苦表情,贫血貌。皮肤、粘膜无蜘蛛痣、淤 Patient summary, male, 59 years old. 3 days due to abdominal pain in November 29, 1988 admission. 3 days ago, without any incentive, sudden sensation of left upper quadrant pain, persistent pain, progressive increase, progressive and full belly, no radiation, no nausea, vomiting. Low fever, no chills, no hematuria, with dizziness, whole body weakness. No diarrhea, bloody stool, income hospital. A year ago, a history of abdominal trauma, history of infectious diseases and allergy denied. Physical examination: T37.8 ℃, P100 times, R22 times, BP13 / 9.3kPa. Normal development, nutrition in general, conscious, painful expression, anemia appearance. Skin, mucosa without spider nevus, silt