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1 病例报告 患者,男性,50岁,因上腹部疼痛7d伴呕吐咖啡样物2h,于1999年2月入院。查体:左上腹稍隆起,全腹软,无压痛、反跳痛,左中、上腹可触及20cm×20cm球形包块,质软,边界不清。化验:Hb 116g/L。胃镜示胃底小弯近贲门下方见一大小约1.5cm×3.0cm的凝血块附着,有活动性出血,电凝止血效果差。B超示左上腹部25.0cm×18.5cm×11.1cm的液性暗区,边界清楚,包膜完整,左肾未探及。 经内科止血、抑酸、输血1200ml等治疗,患者仍多次大
1 Case Report Patients, male, 50 years old, with upper abdominal pain 7d with vomit coffee samples 2h, were admitted to hospital in February 1999. Physical examination: the left upper abdomen slightly elevated, full belly soft, no tenderness, rebound tenderness, left, upper abdomen can reach 20cm × 20cm spherical mass, soft, unclear boundary. Assay: Hb 116g / L. Gastroscopy showed a small stomach near the bottom of the stomach, see the size of a small clot about 1.5cm × 3.0cm clot attached, active bleeding, coagulant effect of poor coagulation. B ultrasound showed the left upper abdomen, 25.0cm × 18.5cm × 11.1cm liquid dark area, a clear boundary, complete capsule, the left kidney is not explored. After medical hemostasis, acid suppression, blood transfusions and other treatment 1200ml, patients are still many times large