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患者男,60岁。因呕咖啡色样物及血便8小时入院。8小时前患者饭后即感腹部轻微不适,l小时后呕咖啡色样物3次,共约600毫升,2小时后解柏油样便4次,继而血便3次,色暗红,间有血块,总量约1500毫升,不伴有腹痛,2次出现晕厥。既往无上消化道溃疡等病史。查体:R 26次/分,P 110次/分,BP11.5/7.5kPa,精神弱,脸色苍白.两肺呼吸音清,HR 110次/分,律齐,腹平软,上腹轻压痛,无反跳痛,肝脾未触及,全腹未触及包块,肠鸣音略亢进,无移动性浊音。化验:Hb 60g/L,RBC2.9×10~(12)/L,WBC 4.O×10~9/L,BPC90×10~9/L,给予肾上腺稀
Male patient, 60 years old. Due to vomit brown samples and bloody stool 8 hours admission. Eight hours before meals, the patient felt mild abdominal discomfort, l hour after vomiting brown samples 3 times, a total of about 600 ml, 2 hours after the tarry solution will be 4 times, followed by bloody stool 3 times, dark red, between the blood clots, The total amount of about 1500 ml, without abdominal pain, 2 times syncope. Previous upper gastrointestinal ulcers and other medical history. Physical examination: R 26 beats / min, P 110 beats / min, BP 11.5 / 7.5kPa, weak spirit, pale face, breath sounds clear on both lungs, HR 110 beats / min, Tenderness, no rebound pain, liver and spleen not touched, the whole abdomen without touching mass, bowel sounds slightly hyperthyroidism, no mobility dullness. Assay: Hb 60g / L, RBC 2.9 × 10-12 / L, WBC 4.O × 10-9 / L, BPC90 × 10-9 / L, given adrenal