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患者王某,男,26岁。因躁动不安、幻视4d、呕血400ml入院。既往体健,未问出其它病史。查体:Bp 22.7/16.0kPa,神志恍惚,能正确回答部分问题。右肺上部闻及少量湿性罗音,呼吸音低。心界不大,心率100次/min,律整,无杂音。腹部(一)。神经系统检查:布氏征(一),克氏征(一),双手轻度震颤,四肢深浅反射正常,病理反射未引出。实验室检查:血WBC25×10~9/L,N90％,L8％,胸透:右肺中上大叶性肺炎。入院后给予止血药物,抗感染及对症处理,住院2d后患者无诱因再次呕出暗红色液体300ml,给予三腔二囊管插入压迫止血,
Patient Wang, male, 26 years old. Because of agitation, visual hallucinations 4d, vomiting 400ml admission. Past physical health, did not ask other medical history. Physical examination: Bp 22.7 / 16.0kPa, trance, can answer some of the questions correctly. Upper right lung smell a small amount of wet rales, low breath sounds. Heart, heart rate 100 times / min, law, no noise. Abdomen (a). Neurological examination: Burson’s sign (a), Kirschner sign (a), both hands mild tremor, limbs, depth of reflex normal, pathological reflex did not lead. Laboratory tests: blood WBC25 × 10 ~ 9 / L, N90%, L8%, chest X-ray: right middle lobe pneumonia. After admission to give hemostatic drugs, anti-infectives and symptomatic treatment, patients with no evidence of hospitalized 2d again vomit dark red liquid 300ml, giving three-chamber two balloon catheter compression hemostasis,