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患者,男,51岁,因“上腹痛伴间断黑便1周”为主诉于2013年11月11日收住我科。患者于入院前1周无诱因出现间断上腹部胀痛不适,伴间断排成形黑便,约1次/(1~2)日,量约(50~200)g/次,乏力,纳差,故以“上消化道出血”收住院。查体:血压80mmH g/50mmH g,神志清,精神差。睑结膜无苍白。双肺呼吸音清。心律齐,心音可。腹软,剑突下压痛阳性,无反跳痛。肝区叩击痛阴性。肠鸣音正常。四肢末梢循环良好。既往2006
The patient, male, 51 years old, was admitted to our department on November 11, 2013 because of “abdominal pain accompanied with intermittent black stool for 1 week.” Patients with intermittent upper abdominal discomfort 1 week before admission, intermittent abdominal discomfort with intermittent formation of meconium, about 1 / (1 ~ 2) days, the amount of about (50 ~ 200) g / time, fatigue, anorexia, Therefore, “upper gastrointestinal bleeding ” admitted to hospital. Physical examination: blood pressure 80mmH g / 50mmH g, clear mind, poor spirit. Eyelid conjunctiva no pale. Breath sounds clear lungs. Qi heart, heart sound can be. Abdominal soft, xiphoid tenderness positive, no rebound tenderness. Liver percussion pain negative. Bowel sounds normal. Extremities circulation well. Past 2006