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患者男,64岁,农民。以“间断腹胀、黑便20+d”入院。患者20+d前出现腹胀、乏力,以进食后加重,伴反酸,无厌油腻食物,无牙龈出血及鼻衄,无黄疸及脂肪泻等表现,但间断出现黑便,为黑色糊状便,每1~2天1次,每次量约100~200ml,无呕血,在当地医院给予内科治疗后,疗效不佳,为求进一步诊治入住我科。既往1年前因“慢性阻塞性肺疾病、消化性溃疡”多次住院治疗。体格检查:T 36.4℃,P 70次/分,R 20次/分,
Male patient, 64 years old, farmer. To “intermittent bloating, black stool 20 + d ” admission. Patients with bloating before 20 + d, fatigue, increased after eating, with acid reflux, greasy food, gingival bleeding and epistaxis, jaundice and steatorrhea and other performance, but intermittent black stool, black paste , Every 1 to 2 days 1 times, each volume of about 100 ~ 200ml, no hematemesis, medical treatment in the local hospital, the poor efficacy, for further diagnosis and treatment admitted to our department. Past 1 year ago because of “chronic obstructive pulmonary disease, peptic ulcer ” multiple hospitalizations. Physical examination: T 36.4 ℃, P 70 beats / min, R 20 beats / min,