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患儿,男,8岁半,住院号,432970 反复剑突下隐痛,伴反酸、恶心半年,以夜间及请晨为剧,偶有钝痛,无放射痛,约十几分钟自行缓解,否认与饮食、饥锇有关,否认呕吐、呕血,大便外观色泽正常,未经正规治疗,近月疼痛加剧,发作频繁,曾自服“胃酶片”于入院前解黑便一次,量约250ml,呈稀软便。门诊以“黑便待查”收入。否认肝炎病史。其父有胃溃疡史,母亲有胃癌近期手术治疗史。入院时体检:体温36.8℃,呼吸28次/分,脉搏84次/分,血压100/60mmHg,体重25kg,表情自如,皮肤色泽、弹性均正常,未见皮下出血及皮疹,皮
Children, male, 8 years and a half, hospital number, 432970 repeated xiphoid pain, with acid reflux, nausea for six months, at night and please morning play, occasionally dull pain, no radiating pain, about ten minutes to ease, Denied the diet, hungry, denied vomiting, hematemesis, stool appearance normal color, without formal treatment, exacerbated the pain in recent months, frequent seizures, had served “stomach enzyme tablets” in the black solution before admission, the amount of about 250ml , Was thin and loose stools. Out-patient to “black to be investigated” income. Denied the history of hepatitis. His father has a history of gastric ulcer, the mother has a history of recent gastric cancer surgery. Physical examination on admission: body temperature 36.8 ℃, breathing 28 beats / min, pulse 84 beats / min, blood pressure 100 / 60mmHg, weight 25kg, facial expressions, skin color, elasticity are normal, no subcutaneous bleeding and rash, skin