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8岁男孩,双侧腮腺肿痛6天,呕血1天入院,1天呕血4次,每次约30～50ml,暗红色,混有少量未消化食物,呕血前恶心,上腹隐痛,伴发热、恶心、纳差。平素身体健康。除本次病后服板兰根冲剂外,无其它药物服用史,有腮腺炎接触史。查体,体温38.8℃,脉搏110/分,血压80/60mmHg,双侧腮腺肿大,局部灼热感,有触痛,腮腺管口红肿,咽稍充血,心肺正常,肝脾不大,剑突下轻压痛;血红蛋白11g/dl,白细胞11000/mm~3,中性75%,淋巴25%,血小板25g/mm~3,肝功正常,血淀粉酶15单位(温氏法),尿8A 正常。呕血停止后第5天钡餐透视见胃粘膜粗乱,给禁食、输液、止血等后,肿胀
8-year-old boy, bilateral parotid gland pain, 6 days, 1 day hematemesis admission, vomiting 4 times a day, each about 30 ~ 50ml, dark red, mixed with a small amount of undigested food, vomiting before nausea, abdominal pain, with fever , Nausea, anorexia. Normal physical health. In addition to this disease after taking Ban Langen granules, no other medication history, history of mumps exposure. Examination, body temperature 38.8 ℃, pulse 110 / min, blood pressure 80 / 60mmHg, bilateral parotid gland enlargement, local burning sensation, tenderness, parotid gland orifice swelling, pharyngeal hyperemia, normal heart and lungs, hepatosplenomegaly, xiphoid Under the mild tenderness; hemoglobin 11g / dl, white blood cells 11000 / mm ~ 3, 75% neutral, lymphatic 25%, platelets 25g / mm ~ 3, normal liver function, blood amylase 15 units . Hematemesis stopped after the first five days of barium meal see gastric mucosa see through the chaos, to fasting, infusion, hemostasis, swelling