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患者,女,60岁,因上腹部不适、恶心呕吐半月而入院。 半月前开始上腹不适,伴恶心呕吐,其呕吐为胃内容物,进食少,伴乏力、心悸,不发热,二便正常。体格检查,神清,精神萎靡,T 36.8℃,P 40次/分,Bp12/8 kPa(90/60mmHg),巩膜无黄染,心界不大,心率40次/分,律齐,心无杂音,肺(-),上腹左侧轻度压痛,肝脾肋下未及。胃镜诊断:慢性胃炎,12指肠球炎。心脏B超:主动脉增宽,左室间隔增厚,肝脾肾正常。血清钾2.0～2.7mmol/L,血钠、钙、氯正常,镁
Patient, female, 60 years old, admitted to hospital due to upper abdominal discomfort, nausea and vomiting for half a month. Half a month ago began abdominal discomfort, with nausea and vomiting, the vomiting of the stomach content, eating less, with fatigue, palpitations, fever, two will be normal. Physical examination, Shen Qing, apathetic, T 36.8 ℃, P 40 beats / min, Bp12 / 8 kPa (90 / 60mmHg), Sclera no yellow dye, heart is not big, heart rate 40 beats / min, Noise, lung (-), mild left upper abdominal tenderness, liver and spleen ribs did not. Gastroscopy diagnosis: chronic gastritis, 12, enteritis. B ultrasound heart: aortic widened left ventricular septal thickening, liver, spleen and kidney normal. Serum potassium 2.0 ~ 2.7mmol / L, serum sodium, calcium, chloride normal, magnesium