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患者男性,42岁。因黑便、呕血3天,于1984年2月24日收住内科。入院当晚又呕血约1,000毫升,第二天10点钟转入外科治疗。体检:神志清楚,烦躁,面色苍白,血压90/70毫米汞柱。肺(-)。心音弱,律齐,心率108次/分。腹平软,无明显压痛,肝脾未扪及。化验:血红蛋白2克％,红细胞102万/立方毫米,二氧化碳结合力17.8容积％。抢救经过:外科即给予输液,纠正酸中毒、输血治疗。2小时后,
Male patient, 42 years old. Due to melena, hematemesis three days, on February 24, 1984 admitted to medicine. On the night of admission, hematemesis about 1,000 milliliters, the next day at 10 o’clock into surgical treatment. Physical examination: conscious, irritable, pale, blood pressure 90/70 mm Hg. lung(-). Heart sounds weak, law Qi, heart rate 108 beats / min. Abdomen soft, no significant tenderness, liver and spleen not palpable. Laboratory tests: 2 grams of hemoglobin, erythrocytes 1.02 million / cubic mm, carbon dioxide binding capacity of 17.8% by volume. Rescue after: surgery that give infusion, correct acidosis, blood transfusion treatment. Two hours later,