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张××,男,20岁,农民,住院号770573,1977年4月30日入院。主诉饭后吐血三小时。于三小时前进食面条后,渐觉咽部作痒,有异物感,吐不出,咽不下,遂饮水一杯,症状未解,20分钟后恶心呕吐,吐出暗红色血液约30毫升,内有一条肉样物,此后咽部微痛,咽下顺利。无特殊饮食史,无外伤及出血病史。查体T36.8℃,P89次/分,BP134/86mm-Hg,一般情况佳,皮肤粘膜无出血点,头颈部无异常,无吞咽困难。心肺(一),腹软,肝脾未触及。咽喉科检查未见异常。查吐出物系一
Zhang × ×, male, 20 years old, farmer, hospital number 770573, April 30, 1977 admission. The main vomit blood for three hours after a meal. After eating noodles three hours ago, gradually pharyngeal throat itch, foreign body sensation, vomit, swallow, then a cup of water, the symptoms are not solved, nausea and vomiting after 20 minutes, spit out the dark red blood about 30 ml, there are A meat sample, then throat pain, swallow smoothly. No special diet history, no history of trauma and bleeding. Examination T36.8 ℃, P89 times / min, BP134 / 86mm-Hg, the general situation is good, no bleeding skin and mucous membranes, head and neck no abnormalities, no difficulty swallowing. Heart and lung (a), abdominal soft, liver and spleen not touched. Throat examination no abnormalities. Check vomit one