论文部分内容阅读
患者女,34岁。因牙痛自服去痛片4片、避孕药6片,2小时后出现恶心呕吐,逐渐加重,先吐出胃内容物与咖啡样物,后为鲜血,急诊入院。查体:面色苍白,心率106次/min,血压12/7kPa。血色素111.1g/L。即用药物止血,给予输血、扩容治疗。留置三腔二囊管压迫止血。次晨再次剧吐、出血,自行拔除三腔管,呕吐鲜血约1000ml。查血压10/6kPa,血色素80g/L,因保守治疗无效而在全麻下急行剖腹探查术。术中见胃肠内充满大量血块及暗红色积血。于胃前壁中央纵行切开8cm长切口,取尽血块及积血,胃内积血约500
Female patient, 34 years old. Because of toothache self-serving to painkiller tablets 4, 6 contraceptives, 2 hours after nausea and vomiting, gradually increased, first spit out the contents of the stomach and coffee samples, after the blood, emergency admission. Physical examination: pale, heart rate 106 times / min, blood pressure 12 / 7kPa. Hemoglobin 111.1g / L. That is to use drugs to stop bleeding, give blood transfusion, dilatation treatment. Left three-chamber two capsule oppression to stop bleeding. The next morning, the drama, bleeding, self-extraction of the three-chamber tube, vomiting blood about 1000ml. Check blood pressure 10 / 6kPa, hemoglobin 80g / L, due to conservative treatment ineffective under general anesthesia laparotomy exploration. See intraoperative gastrointestinal full of large blood clots and dark red blood. In the anterior gastric wall longitudinal incision 8cm long incision, take blood clots and blood, stomach blood about 500