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患者,女,75岁。因右上腹间歇性隐痛3年,现因剧痛8小时伴鲜暗红色稀便大量而急诊入院。既往有“胃病”史20年。入院诊断:上消化道出血3天来继续鲜暗红色稀便约3500ml,Hb600g/L、WBC:10.4×10~9/L。查体:严重贫血貌,Bp13.3/8KPa,烦燥,面色苍白,四肢湿冷,右上腹压痛件轻度肌卫,未触及明显包块,剖腹探查,术中见胃及肠管内无明显积血症象,肝呈血吸虫性肝硬化表现,无腹水,胆囊己被大网膜包裹粘连。因在麻醉时发现肛门口流出鲜血,直肠上10cm处左侧壁凹
Patient, female, 75 years old. Due to the intermittent pain in the right upper quadrant for 3 years, he was admitted to the hospital due to acute pain for 8 hours with a large amount of dark red loose stools. There has been a history of “stomach” for 20 years. Admission diagnosis: Upper gastrointestinal hemorrhage continued for 3 days to keep fresh dark red loose about 3500ml, Hb600g/L, WBC: 10.4x10~9/L. Physical examination: severe anaemia appearance, Bp13.3/8KPa, irritable, pale, cold limbs, mild upper abdominal muscle tenderness, no palpable mass, exploratory laparotomy, no significant product in the stomach and bowel Anemia, liver schistosomiasis liver cirrhosis performance, no ascites, gallbladder has been wrapped in adhesion of the omentum. Due to an anal outflow of blood found during anesthesia, the left side of the rectum 10cm