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纪某,男性,48岁,农民,因突然昏迷呕吐咖啡样物一天半,于1982年3月4日入院。患者于3月2日日间农业劳动一切如常,晚十时,突然两眼灼辣感,右侧头部和半身麻木,随即意识不清,鼾声。当晚送往当地医院,途中多次呕吐咖啡色胃内容物。用廿露醇等治疗无好转。于3月4日来我院。既往:高血压史5—6年,未坚持治疗。检查:中度昏迷,血压190/120,脉搏90次/分,体温37.8℃,呼吸24次/分,有时节律不匀。心律整齐,未闻杂音,两肺有湿性罗音,肝、脾未触
Ji, a man, 48, a farmer, was admitted to hospital on March 4, 1982, for a day and a half due to a sudden coma and vomiting of coffee samples. Patients in the March 2 during the day all the usual agricultural work, late at 10 o’clock, suddenly two eyes burning sensation, the right head and half body numbness, then unconsciously, snoring. The night was taken to the local hospital, vomiting coffee stomach content on the way many times. With the end of alcohol and other treatment did not improve. Came to our hospital on March 4. Past: history of hypertension 5-6 years, did not insist on treatment. Check: moderate coma, blood pressure 190/120, pulse 90 beats / min, body temperature 37.8 ℃, breathing 24 beats / min, and sometimes irregular rhythm. Tidy rhythm, no unheard noise, both lungs have wet rales, liver, spleen not touch