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1 病例报告女,63岁。因反复上腹疼痛及呕吐1月,加重7d入院。1月前患者出现上腹部烧灼样疼痛,伴食后间断呕吐,当时在外院内镜诊断为十二指肠球部巨大溃疡,给予羟氨苄青霉素0.25g,4次/d和雷尼替丁0.15g,2次/d治疗,15d后呕吐消失,腹痛减轻,患者改服中药治疗。7d前,患者服中药后腹痛加剧、呕吐频繁。再次用羟氨苄青霉素及雷尼替丁冶疗无效。入院查体:T 36.8℃,P 86次/min,R 20次/min,Bp 14/8 kPa。浅表淋巴结无肿大。心肺无异常。右上腹压痛,无反跳痛。肝脾
1 case report female, 63 years old. Due to repeated epigastric pain and vomiting in January, he was admitted for 7 days. 1 month ago, the patient experienced epigastric burning pain, intermittent vomiting after accompanied by food, at the time the endoscope was diagnosed as a giant ulcer of the duodenal bulb, given amoxycillin 0.25g, 4 times / d and ranitidine 0.15 g, 2 times / d treatment, 15 days after the disappearance of vomiting, abdominal pain reduced, the patient changed to take Chinese medicine treatment. Before 7 days, abdominal pain was increased and vomiting was frequent after taking the Chinese medicine. Another treatment with amoxycillin and ranitidine was ineffective. Admission examination: T 36.8°C, P 86 beats/min, R 20 beats/min, Bp 14/8 kPa. Superficial lymph nodes are not swollen. No abnormalities in heart and lungs. Right upper quadrant tenderness, no rebound tenderness. Liver and spleen