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患者,男性,46岁。因上腹部疼痛1年多,加重伴呕血、便血1天入院。3月前胃镜检查诊断胃小弯溃疡。体检:T36℃,P108次/分,R19次/分,BP12.8/8kPa。心界无扩大,心率105次/分,血红蛋白58g/L,肝、肾功能、血糖均正常。大便潜血试验++++,尿糖试验阴性。给予吸氧,输血,口服去甲肾上腺素,静滴止血剂等治疗,病情稳定。第2天上午诉右眼视物模糊,下午完全失明。急查双眼压正常。眼检:右侧瞳孔4.5mm,左4.0mm,光反射迟钝,双视乳头苍白,视网膜血管细,
Patient, male, 46 years old. Due to pain in the upper abdomen more than a year, increased with hematemesis, blood in the stool 1 day admission. Gastroscopy diagnosed gastric lesser ulcer 3 months ago. Physical examination: T36 ℃, P108 times / min, R19 times / min, BP12.8 / 8kPa. No expansion of the heart, heart rate 105 beats / min, hemoglobin 58g / L, liver and kidney function, blood glucose were normal. Fecal occult blood test ++++, urine test negative. Give oxygen, blood transfusion, oral norepinephrine, intravenous hemostatic agents and other treatment, stable condition. On the second morning of the right eye vague vision, completely blind the afternoon. Urgent pressure to check both eyes normal. Eye examination: The right pupil 4.5mm, left 4.0mm, slow light reflex, binocular nipple pale, thin retinal blood vessels,