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男,38岁,农民。1983年4月26日中餐时不慎吞下鹅骨1块,当即异物梗塞,胸后疼痛,咽下困难。经强行吞噬饭团、韭菜、食醋等,异物梗塞未能解除。饥饿时仍强行吞饮稀饭、米汤。5月5日下午4时,突然呕出鲜血500～600ml,次日晨又3次呕血共约1100ml,当即昏厥,急诊入院。既往无胃病、肝病史。体检:T36℃,P140次/分,R24次/分,BP70/40mmHg;神志不清,面色苍白,四肢厥冷,脉细数,呈急性失血病容;心音低钝,心尖部可闻及Ⅱ级收缩期杂音,余无异常发现。实验室检查:Hb6g％,RBC
Male, 38 years old, farmer. April 26, 1983 Chinese swallowed a goose bone accidentally, immediately foreign body infarction, chest pain, swallowing difficulties. After swallowing rice balls, leeks, vinegar, foreign body infarction failed to lift. Hunger is still forced to swallow porridge, rice soup. May 5 at 4 pm, suddenly vomit blood 500 ~ 600ml, the next morning and 3 times vomiting a total of about 1100ml, immediately fainting, emergency admission. Past no stomach disease, history of liver disease. Physical examination: T36 ℃, P140 beats / min, R24 beats / min, BP70 / 40mmHg; unconscious, pale, extremities Jueleng, pulse breakdown, acute hemorrhagic disease; Systolic murmur, I found no abnormalities. Laboratory tests: Hb6g%, RBC