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病史摘要患者男,58岁,农民,已婚,住院号130577。因呕吐棕褐色液体伴柏油样粪便一天,于1982年1月14日入院。患者于入院前4天开始感中上腹不适,入院前一天在田间劳动时伴有恶心,并呕吐棕褐色胃内容物一次,约200ml,同时感头晕、乏力、出冷汗,以后又解柏油样粪便,约150g。急诊诊断上消化道出血而收入院。患者在10个月和8个月前因同样情况曾两次住院。胃肠钡餐示食管下段与胃底部有外来弧形压迹。肿块呈圆形,位于胃底与左膈之间,直径14cm。超声波提示左膈下有肿块(脾脏)。
Medical History Abstract Patient Male, 58 years old, farmer, married, hospital number 130577. She was hospitalized on January 14, 1982 due to vomiting of tan liquid with tar-like excrement for one day. The patient began to feel sensation of upper abdominal discomfort four days before admission. He was sick with nausea and vomited tan stomach contents on the day before admission and was about 200ml. At the same time, he felt dizziness, fatigue, and cold sweat. Later he resolved the tar. Feces, about 150g. Emergency diagnosis of upper gastrointestinal bleeding into the hospital. The patient had been hospitalized twice in the same circumstances before 10 months and 8 months ago. Gastrointestinal barium showed an external curved indentation in the lower esophagus and bottom of the stomach. The tumor was round and located between the fundus and the left eyelid and was 14 cm in diameter. Ultrasound revealed a lump (spleen) under the left iliac crest.