1病例介绍患者男,71岁。因心累、气促、黑便2+个月于2013年3月27日入院。入院时患者感心累、气促伴黑便,无发热、消瘦、全身疼痛。入院体格检查:神志清楚,贫血貌,双眼睑结膜苍白,全身浅表淋巴结未扪及肿大,皮肤巩膜无黄染,颈静脉正常;心律齐,各瓣膜区未闻及杂音,肺气肿征:双肺叩诊呈过清音,双肺呼吸音低,肺底可闻及细湿啰音。腹部外形正常,全腹软,无压痛及反跳痛,腹部未触及包块。肝脏及脾脏肋下未触及。肾脏 1 case description Patient male, 71 years old. Due to heart tiredness, shortness of breath, black stool +2 months on March 27, 2013 admission. Feeling tired on admission to patients, with black stools, no fever, weight loss, body aches. Admission physical examination: Conscious, anemic appearance, pale eyelid conjunctiva, systemic superficial lymph nodes palpable enlargement, scleral no yellow dye, jugular vein normal; rhythm Qi, the valve area did not smell and noise, emphysema sign : Duplex percussion was voiceless, lungs breath sounds low, the lungs can be heard and fine wet rales. Abdomen shape normal, full belly soft, no tenderness and rebound tenderness, the abdomen did not touch mass. The ribs of the liver and spleen are not touched. kidney