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患者,男,67岁.因呕血、黑便3天入院.反复发作上腹部隐痛20余年,入院前3天上腹痛加剧,呕血2次,解柏油样便5次入院.否认精神病史. 检查:贫血貌,无黄疸.两肺(一).心率104次/分,心尖区可闻Ⅱ级吹风样收缩期杂音.腹平坦,软,肝脾未及,腹部无压痛,无包块,无扑翼样震颤.纤维胃镜提示;胃小弯溃疡. 入院后即输同型血450ml,静注甲氰咪胍0.2g,每日2次,静滴止血药.入院第3天晚11时许,病人突然坐
Patients, male, 67 years old. Hematemesis, melena 3 days admission. Repeated episodes of upper abdominal pain for more than 20 years, 3 days before admission, abdominal pain aggravated, hematemesis 2 times, 5 cases of asparagus will be admitted to hospital, denied a history of mental illness. Appearance, no jaundice. Two lungs (a). Heart rate 104 beats / min, apical area can smell Ⅱ grade hair-like systolic murmur. Abdomen flat, soft, liver and spleen not yet, abdominal tenderness, no mass, Like tremor fiber gastroscopy tips; gastric ulnar lesion.After admission the same type of blood transfusion 450ml, intravenous cimetidine 0.2g, 2 times a day, intravenous hemostatic medicine .3 days after admission at 11 am, the patient suddenly sit