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患者,女,14岁,学生.因上腹部隐痛伴黑便反复发作半年,痛呈持续性,阵发性加剧,伴暧气,痛不定时,与饮食无关,每次发作持续4～5天,逐渐缓解,缓解后如常.疼痛1～2天后出现黑便,呈柏油样,量中等烂便,日解1～2次.每发均按胃溃疡出血治疗,用药4～5天后,大便转黄而“治愈”.体检:T37.2℃, P104次/分,R28次/分,BP14/8kPa,面色略苍白,自动体位,心律齐,心率104次/分,心尖区可闻及I-Ⅱsm,两肺呼吸音清晰,腹部平软,肝脾肋下未触及,剑突下轻度压痛,未及
Patients, female, 14 years old, students due to the upper abdomen painful with black will recurrent six months, the pain was persistent, paroxysmal aggravating, with warm air, pain time, and diet, each attack lasts 4 to 5 days , Gradually ease, ease as usual.After 1 to 2 days of pain appeared melena, asphaltene, moderate rotten, daily solution 1 to 2. Each treatment according to gastric ulcer bleeding treatment, medication 4 to 5 days after the stool turn Yellow and “cure.” Physical examination: T37.2 ℃, P104 times / min, R28 beats / min, BP14 / 8kPa, pale complexion, automatic position, heart rate Qi, heart rate 104 beats / min, Ⅱsm, clear breath sounds of both lungs, abdomen soft, liver and spleen ribs not touched, mild tenderness under the xiphoid, and