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患者女,38岁,3d前呕吐咖啡渣状物1次,量约150ml。心慌、剑突下不适。大便1d1次,黑色、糊状。剑突下不适约10年,与进食种类无关。无哮喘史。查体:Bp15/10 kPa,P80次/min。睑结合膜苍白,心肺无异常,腹软,突下有压痛,肝脾未及,化验检查:RBC 2.43X10~(12)/L,Hb 65g/L,WBC 4.7X10~9/L,N0.71,L 0.27,M 0.2,E.B.C 0.1 ×10~9/L,BPC 102×10~9/L,大便黑色,隐血阳性,未发现寄生虫卵。胃镜发现十二指肠球部小弯侧 O.3 ×0.4cm~2范围粘膜
Female patient, 38 years old, 3 days ago vomit coffee residue 1, the amount of about 150ml. Flustered, xiphoid discomfort. Stool 1d1 times, black, paste. Xiphoid discomfort about 10 years, has nothing to do with the type of food. No history of asthma. Physical examination: Bp15 / 10 kPa, P80 times / min. Eyelid conjunctiva pale, no abnormal heart and lung, abdominal soft, sudden tenderness, liver and spleen not, laboratory tests: RBC 2.43X10 ~ (12) / L, Hb 65g / L, WBC 4.7X10 ~ 9 / L, N0. 71, L 0.27, M 0.2, EBC 0.1 × 10 ~ 9 / L, BPC 102 × 10 ~ 9 / L, stool black, occult blood positive, no parasitic eggs were found. Gastroscopy found a small bend in the duodenal bulb O.3 × 0.4cm ~ 2 range mucosa