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患者男,33岁,因呕血600ml于1990年10月26日入院。入院前晚餐食鱼后觉咽喉部异物感,并有轻度吞咽困难,胸骨后烧灼样疼痛。2小时后恶心、呕吐,初为胃内容物,随后呕出一条游离膜样物,长约5cm,并呕鲜血600ml。查:T35.8℃,P88次/分,BP13.3/7.9kPa。心肺无异常,剑突下有轻压痛,肝脾不大。出凝血时间,血小板均正常。胃镜检查示:距门齿30～37cm食道中
Male, 33 years old, was admitted to hospital on October 26, 1990 due to hematemesis 600ml. Pre-hospital dinner after eating fish feel throat foreign body sensation, and mild dysphagia, chest sore burning kind of pain. 2 hours after nausea, vomiting, stomach contents at first, then vomit a free sample of the membrane, about 5cm, and vomit blood 600ml. Check: T35.8 ℃, P88 beats / min, BP13.3 / 7.9kPa. No abnormal heart and lung, light tenderness under the xiphoid, little liver and spleen. A clotting time, platelets are normal. Gastroscopy showed: from the incisors 30 ~ 37cm in the esophagus