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病历摘要男患,56岁。因患高血压十余年,近十年来经常口服肠溶阿斯匹林每次0.5克,每日三次。近半年来经常出现上腹不适,反酸嗳气。检查上腹部有轻压痛,无肌紧张及其他体征。既往无肝胆系统病史,X线钡透发现胃底部粘膜增厚。于1976年10月8日夜突然上腹部隐痛,恶心未吐,大便呈柏油样,连续排便四次,每次多量。半小时后感眼前发黑,四肢无力。同时呈现颜面苍白、大汗淋漓,随昏倒在地上。经测脉搏120次/分,血压70/50mmHg,乃急送上级医院输血抢救治疗,两天后症状缓解,十天后大便呈黄色,
Medical history male suffering, 56 years old. Due to hypertension for more than ten years, the past 10 years often oral enteric-coated aspirin each 0.5 grams three times a day. Nearly six months often appear abdominal discomfort, acid reflux. Check the upper abdomen with mild tenderness, no muscle tension and other signs. Past history of hepatobiliary system, barium X-ray found thickening of the gastric mucosa. In the night of October 8, 1976 abrupt pain in the abdomen, nausea and vomiting, stool was tarry, continuous defecation four times, each time a large amount. Half an hour later black eyes, weakness. While showing pale, sweating, with fainted on the ground. The measured pulse of 120 beats / min, blood pressure 70 / 50mmHg, is sent to superior hospital blood transfusion rescue treatment, two days after the symptoms were relieved, ten days after the stool was yellow,