患者 ,女 ,2 0岁。两小时前患者因急速喝水吞咽时骤感下咽部痉挛后剧烈疼痛 ,伴恶心 ,呕吐约30 ml鲜血 ,此后频繁呕吐出黄绿色苦味液体 ,伴心慌、咽下困难 ,但无呛咳及呼吸困难 ,于 1 999年2月 8日来院急诊。患者否认吞入异物史 ,既往无消化道疾病史。体检 :T37.2℃ ,BP1 0 5/ Patient, female, 20 years old. Two hours ago, the patient swallowed rapidly because of rapid water swallowing. Severe pain following hypopharyngeal spasm, accompanied by nausea and vomiting, about 30 ml of blood, vomit yellowish green bitter liquid after frequent vomiting, palpitation, difficulty swallowing, but no cough and Dyspnea, was hospitalized on February 8, 1999. Patients denied the history of foreign body swallowed, no past history of gastrointestinal disease. Physical examination: T37.2 ℃, BP1 0 5 /