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叶某,男,24yr。1987年8月28日入院。患者于3d前因两侧脚趾发庠,当地医院给服酮康唑,每天20mg。2d后起头昏。28日上午厂里劳动时,突然脸色苍白、出冷汗、昏厥倒地—次。当天下午大便2次(色未注意)。有恶心、流口水、无腹痛、腹胀。晚餐吃面一小碗,4-5min后,突然呕混有食物的暗红色液体200mL。即来院急诊。平时体健。查体:T37.2℃,P84次/min,R20次/min,BP13/8.5kPa。急性病容、神志清、软弱、贫血明显。余无异常发现。实验室检查:血红蛋白95g/L,红细胞
Yemou, male, 24yr. August 28, 1987 admitted to hospital. Patients with hair on both sides of the toe before 3d, local hospital to give ketoconazole, 20mg daily. After 2d dizzy. Work at the factory on the 28th, suddenly pale, sweating, fainting fell to the ground - times. The afternoon stool 2 times (color not pay attention). Nausea, drooling, no abdominal pain, bloating. Dinner to eat a small bowl, 4-5min, suddenly vomit food dark red liquid 200mL. That is hospital emergency. Usually healthy. Physical examination: T37.2 ℃, P84 times / min, R20 times / min, BP13 / 8.5kPa. Acute illness, delirious, anemic obvious. I found no abnormalities. Laboratory tests: Hemoglobin 95g / L, red blood cells