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患者,男,60岁,1994年9月15日因反复上腹部疼痛30年,加重4天住院。入院后次日呕吐咖啡样物,解黑大便。患者呈慢性消瘦病容,面色苍白,血压12/7kPa(1kPa=7.5mmHg),脉博96次/分,血红细胞1.28×10~(12)/L,血红蛋白52g/L,大便潜血强阳性。经胃镜、B型超声波检查确诊为上消化道出血,十二指肠球部溃疡。患者出血3天后输血1200ml,血压13/10kPa,脉博78次/分。出血第3天自觉左眼视物模糊,8天后到眼科会诊检查,视力(患者自述病前双眼视力1.5):左眼颞侧光感,数指/眼前;右眼头后仰位0.7。双眼眼压正常。左眼底视乳头苍白水肿,隆起2D,以鼻侧显著。视乳头周边视网膜可见放射状皱褶。视网膜动脉稍细,静脉充盈迂曲。黄斑区色
Patients, male, 60 years old, September 15, 1994 due to repeated upper abdominal pain for 30 years, increased 4 days hospitalization. The next day vomit coffee samples after admission, black stool solution. Patients were chronic wasting disease, pale, blood pressure 12 / 7kPa (1kPa = 7.5mmHg), pulse Bo 96 / min, red blood cells 1.28 × 10-12 / L, hemoglobin 52g / L, fecal occult strong positive. After endoscopy, B-type ultrasound confirmed upper gastrointestinal bleeding, duodenal ulcer. Three days after the patient bleed blood transfusion 1200ml, blood pressure 13 / 10kPa, pulse Bo 78 / min. On the third day after hemorrhage, the visual acuity of the left eye was blurred. After 8 days, he went to the ophthalmological examination for visual acuity. The visual acuity was 1.5 in the patient’s eyes. IOP normal. Left eyelid papillery pale edema, uplift 2D, nasal significant. The optic nerve around the retina visible radial wrinkles. Retinal artery slightly thin, tortuous vein filling. Macular area color