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病例1 男,36岁,食硬食物1h后上腹部不适,继而恶心、呕吐鲜血及食物约1000ml,0.5h后又呕吐鲜血约1500ml,患者出现乏力、心慌、烦躁不安,血压下降,脉搏加快。急诊科医师以门脉高压出血原因待查,溃疡病出血原因待查,给予补液止血等治疗,病情不见好转,治疗过程中,又呕血数次,应用三腔管压迫止血后未再次出血。询问病史:往健,无溃疡病及胃炎病史,无慢肝和近期服药史。查体:体温35.7℃,脉搏96次/min,呼吸20次/min,血压12/
Case 1 male, 36 years old, hard food 1h after the upper abdomen discomfort, and then nausea, vomiting blood and food about 1000ml, 0.5h and vomiting blood about 1500ml, patients with fatigue, palpitation, irritability, blood pressure, pulse speed. Emergency Department to portal hypertension bleeding causes to be investigated, the cause of ulcer bleeding to be checked, given rehydration hemostasis and other treatment, the condition did not improve, the course of treatment, hematemesis several times, the application of three-lumen tube hemostasis did not re-bleeding. Ask history: to health, no history of ulcer disease and gastritis, no slow liver and recent medication history. Examination: body temperature 35.7 ℃, pulse 96 times / min, breathing 20 times / min, blood pressure 12 /