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患者,男,48岁,3月前出现上腹部疼痛,伴有反酸,无头昏、乏力、心悸,无恶心、呕吐,无解黑便及血便。患者自行服用奥美拉唑胶囊症状有时可缓解,有时反而加重,为进一步查治,于2013年1月5日遂到我院门诊就诊。既往身体尚可,有青霉素过敏史,无食物过敏史。体检:T 36.0℃,P 80次/min,R 18次/min,BP 103/76 mmHg。患者神志清楚,腹壁软,剑突下轻压痛,无反跳痛,其余无异常。行上腹部B超检查未发现明显异常,经胃镜确诊为胃溃疡幽门螺杆菌阴
The patient, male, 48 years old, had upper abdominal pain 3 months ago accompanied by acid reflux, dizziness, fatigue, palpitations, nausea, vomiting, nausea and bloody stools. Patients taking omeprazole capsule symptoms can sometimes be alleviated, sometimes aggravating, in order to further investigation, in January 5, 2013 then went to our hospital clinic. Previous body is acceptable, history of penicillin allergy, no history of food allergy. Physical examination: T 36.0 ° C, P 80 breaths / min, R 18 breaths / min, BP 103/76 mmHg. Conscious patients, abdominal wall soft, xiphoid light tenderness, no rebound tenderness, the rest without exception. B-line ultrasound examination showed no significant abnormalities, confirmed by gastroscopy gastric ulcer Helicobacter pylori