论文部分内容阅读
患男,45岁,因间断性上腹痛7年,加重并黑便3d入院。7年前出现上腹部隐痛伴黑便,诊断为“十二脂肠球部溃疡”,服“雷尼替丁”症状可缓解。本次又以饱餐及大量饮酒后发生上腹持续性隐痛,伴乏力、腹胀及黑便(量约100g)。25年前,患者曾因作青霉素皮试而发生过敏性休克。查体T36.9℃,P88次/min,R20次/min,BP11.7/9.3kPa,神志清楚,贫血貌,皮肤粘膜无黄染,无肝掌和蜘蛛痣,浅表淋巴结无肿大。心、肺未见异常。腹平软,中上腹
Male, 45 years old, due to intermittent upper abdominal pain for 7 years, aggravating and black stool 3d admitted. 7 years ago, upper extremity pain and melena appear, diagnosed as “twelve fat intestine ulcer”, serving “ranitidine” symptoms can be alleviated. This time with a full meal and heavy drinking occurred after persistent abdominal pain, with fatigue, bloating and melena (about 100g). 25 years ago, patients had anaphylactic shock due to penicillin skin test. Physical examination T36.9 ℃, P88 times / min, R20 times / min, BP11.7 / 9.3kPa, conscious, anemic appearance, skin and mucosa without yellow dye, liver palms and spider nevus, superficial lymph nodes without swelling. Heart, lung no abnormalities. Abdomen soft, in the upper abdomen