患者男,26岁,无明显诱因突发阵发性上腹部疼痛,无定位,伴恶心、呕吐,呕吐物为胆汁及咖啡样物。查体:面色苍白,急性病容,强迫体位,腹部软,无肠形,压痛点不定。6小时后疼痛呈持续性绞痛,大汗淋漓。肌注阿托品后疼痛不缓解。查血象、尿常规、淀粉酶、肝功酶及胸透,排除了常 Male, 26 years old, no obvious incentive to paroxysmal upper abdominal pain, no positioning, with nausea, vomiting, vomit for bile and coffee samples. Physical examination: pale, acute illness, forced position, abdominal soft, no intestinal shape, tenderness point uncertain. 6 hours after the pain was sustained colic, sweating. Muscle injection atropine pain does not ease. Check the blood, urine, amylase, liver enzymes and thoracic, ruled out often