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1 临床资料患者,男,26岁,歼-7飞行员,飞行时间430 h。来我院健康疗养,参加统一组织下海游泳训练。游泳预先准备阶段,无不适反应。下海游泳约15 min时感到腹部不适,没有在意。5 min 后自觉上腹部闷痛,于是上岸休息。此时岸上观察人员及保健医师发现他脸色苍白、表情淡漠,送门诊。查体:体温36.3℃,脉搏88次/min,血压14.6/8.0 kPa。自述8个月前开始有上腹部隐痛及返酸史,未介意。观察半小时后,呕吐少量咖啡色内容物。并有乏力,口渴。初步诊断
1 clinical data patients, male, 26 years old, J-7 pilots, flight time 430 h. To our hospital health convalescence, swimming in the sea to participate in unified training. Swimming preparation stage, no discomfort reaction. I feel abdominal discomfort when I swim in the sea for about 15 minutes and I do not care. Consciously abdominal pain after 5 min, so ashore to rest. At this time, shore observers and health practitioners found him pale, apathetic and sent out clinics. Physical examination: body temperature 36.3 ℃, pulse 88 beats / min, blood pressure 14.6 / 8.0 kPa. Readme 8 months ago began to have abdominal pain and back pain history, did not mind. After half an hour of observation, vomit a small amount of brown contents. And fatigue, thirst. initial diagnosis