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例1,女,49岁,住院号92513。因呕血、柏油样黑便6小时入院。体检:Bp14.5/8.5kpa,腹平软,肝脾未触及。实验室检查:血红蛋白105g/L,大便潜血++++。肝肾功能正常。胃镜:十二指肠球部溃疡(Du)活动期。入院诊断:Du 并发出血。入院后给予甲氰咪胍每天1.2g静滴。第8天,发现小便为酱油色,巩膜中度黄染,脾肋下2cm,质软无压痛,肝肋下未触及。血红蛋白降至70g/L。复查大便OB(-)。尿常规:紫酱色,UrO+++14.222μmol/L,Bili+++51.3μmol/L,Hb+++0.01g/L,Pro++
Example 1, female, 49 years old, hospital number 92513. Due to hematemesis, asphalted black 6 hours admission. Physical examination: Bp14.5 / 8.5kpa, abdominal soft, liver and spleen not touched. Laboratory tests: hemoglobin 105g / L, fecal occult blood ++++. Liver and kidney function is normal. Gastroscopy: duodenal ulcer (Du) active phase. Admission diagnosis: Du concurrent bleeding. Cimetidine given intravenously after admission 1.2g intravenous infusion. On the 8th day, it was found that the urine was soy sauce, sclera moderate yellow dye, Spleen ribs 2cm, soft, no tenderness, liver ribs not touched. Hemoglobin dropped to 70g / L. Review stool OB (-). Urine: purple sauce color, UrO +++ 14.222μmol / L, Bili +++ 51.3μmol / L, Hb +++ 0.01g / L, Pro ++