患者男性，46岁，因上腹部持续疼痛30小时，于1986年11月24日1时以上腹痛原因待查收入院。30小时前开始上腹部持续痛，不向其他处放散，无恶心呕吐，无反酸嗳气，无发热。曾来门诊给阿托品肌注和甲氰咪胍口服，回家治疗。7小时之后，上腹痛加剧，并伴心慌气憋、吞咽困难而复诊 Male, 46 years old, suffering from persistent pain in the upper abdomen for 30 hours. On November 24, 1986, the cause of abdominal pain was admitted to hospital for investigation. 30 hours ago began to continue the pain on the abdomen, do not spread to other parts, no nausea and vomiting, no acid reflux, no fever. Have been to atropine intramuscular injection and cimetidine oral, home treatment. 7 hours later, aggravated upper abdominal pain, accompanied by palpitation and gas, dysphagia and referral