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1 病例报告患者男,42岁。因中上腹疼痛30年,加重20天,呕血黑便1天,于2000—05—17入院。入院前行胃镜检查,诊断胃十二指肠复合性溃疡,慢性萎缩性胃炎。查体:体温38.2℃,血压128/80mmHg(17.1/10.7kPa);脉搏81/min。腹部膨隆,无胃肠型,肝脾肋下未触及。上腹偏右明显压痛,无反跳痛,无包块触及,无移动性浊音。肠鸣音活跃,未闻气过水声。彩超和胸部透视未见异常。腹部透视:可见充气的肠管及多处液平,
1 case report patient male, 42 years old. Due to pain in the upper abdomen for 30 years, heavier 20 days, hematemesis and blackness for 1 day, admitted to the hospital from 2000 to 05-17. Gastroscopy was performed before admission to diagnose gastroduodenal complex ulcers and chronic atrophic gastritis. Physical examination: Body temperature 38.2°C, blood pressure 128/80 mmHg (17.1/10.7kPa); pulse 81/min. Abdominal bulging, no gastrointestinal type, liver and spleen did not touch the ribs. Right upper abdomen markedly tenderness, no rebound tenderness, no palpation, no moving dullness. The bowel sounds are active and no sound of water is heard. Ultrasound and chest perspective were no exceptions. Abdominal perspective: visible inflated intestine and multiple fluid levels,