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男性,58岁。因解黑便伴头晕、乏力12天,于2016年1月5日入院。既往无消化道出血病史。体格检查:腹部平坦,全腹无压痛、反跳痛、肌紧张,肝脾未触及。腹部叩诊呈鼓音,移动性浊音阴性。听诊肠鸣音正常。辅助检查:血常规:红细胞计数(RBC)3.64×10~(12)/L,血红蛋白(Hb)103.0 g/L。胃镜检查提示十二指肠降段内见深溃疡,局部有红色血栓,基底不可见,周围黏膜未见隆
Male, 58 years old. He was admitted to hospital on January 5, 2016 due to dizziness and fatigue for 12 days. No previous history of gastrointestinal bleeding. Physical examination: flat abdomen, no tenderness, rebound tenderness, muscle tension throughout the abdomen, liver and spleen is not touched. Abdominal percussion was drum sound, mobile dullness was negative. The auscultation is normal. Ancillary examination: Blood routine: red blood cell count (RBC) 3.64 × 10 12/L, hemoglobin (Hb) 103.0 g/L. Gastroscopic examination revealed deep ulcers in the descending segment of the duodenum with red thrombi locally, invisible bases, and no visible surrounding mucosa.