第一次查房主治医师:请实习医师汇报病史.实习医师:患者,女,21岁,农民.因反复呕血、左上腹包块渐长大9年,加重伴腹胀4月于1987年4月1日八院.患者12岁时(1978年)在一次重体力劳动后突然呕吐鲜血约500ml,继之黑大便,经休息数天后大便转黄,无意中发现左上腹有“鸡蛋”大小的包块,轻触痛,未治疗.此后至1986年间先后呕血6次,在当地医院住院诊为。肝硬化失代偿期,食道静脉曲张破裂出 The first rounds of attending physician: Internship Report history .Intern: Female, 21 years old, due to repeated hematemesis, left upper quadrant mass grew 9 years, increased with bloating April in April 1987 On January 8, the patient died of vomit blood about 500ml after a heavy manual labor at age 12 (1978), followed by black stool. After a few days of rest, the stool turned yellow, and inadvertently found the “egg” packet in the left upper quadrant Block, touch the pain, untreated .There have been vomiting six times since 1986, hospitalized in the local hospital. Cirrhosis decompensated, esophageal varices rupture out