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男性,40岁.因头昏、心悸、乏力、上腹部不适,解柏油样大便2天于1992年3月7日来院急诊.5天前患者因感冒眼用感冒通(江苏镇江生物化学制药厂生产,批号900417),连服3天后感上腹部不适,继而解柏油样大便.每日2～3次,每次量约200g,且伴头昏、乏力、心悸,既往无胃病史.查T36.1°C,P 127次/分,R 21次/分,BP 12/8kPa.神清,重度贫血貌,四肢湿冷,心率127次/分,心音稍低钝.双肺听诊无异常.腹软,平坦,肝脾肋下未扪及,剑突下有压痛,未扪及包块.实验室检查:Hb35g/L,RBC 1.1×10~(12)/L,WBC 9.8×10~9/L,N0.80,L 0.20,BPC 120×10~9/L,BT、CT正常.EKG示:窦性心动过速.大便OB:(+++).急诊胃镜检查诊断为急性出血性胃炎.入院诊断:药物致上消
Male, aged 40, hospitalized for emergency 2 days on March 7, 1992 due to dizziness, palpitations, weakness, upper abdominal discomfort, and colds for 5 days before the onset of colds (Jiangsu Zhenjiang Biochemical Pharmaceutical Factory Production, lot number 900417), and even for 3 days after the feeling of abdominal discomfort, and then solution of asphalt-like stool. Daily 2 to 3 times, each about 200g, and accompanied by dizziness, fatigue, palpitations, past history without stomach. .1 ° C, P 127 times / min, R 21 times / min, BP 12 / 8kPa. Shen Qing, severe anemia, cold limbs, heart rate 127 beats / min, heart sounds slightly blunt. Soft, flat, not palpable under the ribs of the liver and spleen, under the xiphoid tenderness, palpable mass. Laboratory tests: Hb35g / L, RBC 1.1 × 10-12 / L, WBC 9.8 × 10-9 / L, N0.80, L 0.20, BPC 120 × 10 ~ 9 / L, BT, CT normal.EKG shows: Sinus tachycardia, stool OB: (+++). Emergency gastroscopy diagnosis of acute hemorrhagic gastritis Admission diagnosis: Drug induced elimination