第一次查房(10月15日) 教授:先请实习医师报告病史实习医师甲:患者,男,36岁。因反复上腹隐痛黑便8年,伴发热、头晕、心悸、消瘦、出汗2个月于1985年10月11日入院。8年前无明显诱因出现上腹部无节律性隐痛,伴反酸,且发现大便变黑。在当地医院检查,大便隐血“强阳性”,血红蛋白3.5g％,诊断为“上消化道出血”,住院一月余,症状消失出院。以后患者反复出现上腹隐痛黑便,均经治疗后消失。近二月 The first round of inspection (October 15th) Professor: First, ask an intern to report the medical history. Interns A: Patient, male, 36 years old. Due to repeated epigastric abdominal pain for 8 years, fever, dizziness, palpitations, weight loss, and sweating were admitted to the hospital on October 11, 1985. Eight years ago, there was no obvious cause of episodic abdominal pain, accompanied by acid reflux, and black stools were found. In a local hospital examination, fecal occult blood was “strongly positive”, hemoglobin 3.5 g%, diagnosed as “upper gastrointestinal bleeding”, hospitalized for more than a month, symptoms disappeared and discharged. Later, the patient repeatedly experienced abdominal pain and black stools, which disappeared after treatment. Near February