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患者男性,67岁,因上腹部饥饿性闷痛2年,加重伴黑便1天,于1997年2月1日入院。缘于入院前2年起经常于饥饿时出现上腹部闷痛不适伴返酸嗳气,曾在外院钡透示:十二指肠球部溃疡。1天前上腹痛加重并解柏油样便3次,量约1000ml。平素健康,否认高血压病史。查体:血压14/9kPa,脉搏90次/min,神志清楚,贫血貌,皮肤巩膜无黄染,浅表淋巴结未触及,头颈阴性,心肺听诊无特殊,腹平软,上腹部轻压痛,肝脾肋下未触及,莫菲氏征阴性,
Male, 67 years old, suffering from hunger and nausea in the upper abdomen for 2 years and exacerbated with melena for 1 day, was admitted on February 1, 1997. Due to 2 years before admission, often in the hungry when the upper abdominal pain and discomfort with acid reflux, had barium revealed outside the hospital: duodenal ulcer. 1 day ago aggravating abdominal pain and relieve the asphalt like 3 times, the amount of about 1000ml. Usually healthy, denied a history of hypertension. Physical examination: blood pressure 14 / 9kPa, pulse 90 beats / min, conscious, anemic appearance, skin sclera no yellow dye, superficial lymph nodes not touched, head and neck negative, no special cardiopulmonary auscultation, abdominal soft, upper abdominal tenderness, liver Spleen ribs did not touch, Murphy’s sign negative,