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例1 患女,37岁,1月前无诱因出现头晕、乏力,1d前于行走中突然晕倒,感上腹部不适,恶心,呕吐咖啡样物约800ml急诊入院。发病以来,无发热及皮肤粘膜、牙龈出血。既往体健。查体:T36℃,P90次/min,R21次/min,BP16/10.7kPa,贫血貌,巩膜无黄染,皮肤粘膜无出血点。胸骨无压痛,心肺正常。上腹部轻压痛,肝脾未触及。神经系统正常。实验室检查WBC3.2×10~9/L,RBC2.1×10~(12)/L,PLT100×10~9/L;尿常规、肝功、水电
Example 1 suffering from women, 37 years old, 1 month ago, no incentive to cause dizziness, fatigue, suddenly walking in the fainted before 1d, feeling abdominal discomfort, nausea, vomiting coffee samples about 800ml emergency admission. Since the onset, no fever and skin and mucous membranes, bleeding gums. Past physical health. Physical examination: T36 ℃, P90 times / min, R21 times / min, BP16 / 10.7kPa, anemic appearance, sclera no yellow dye, skin and mucous membrane without bleeding point. Sternal no tenderness, normal heart and lungs. Soft abdomen tenderness, liver and spleen not touched. Nervous system is normal. Laboratory tests WBC3.2 × 10 ~ 9 / L, RBC2.1 × 10-12 / L, PLT100 × 10 ~ 9 / L; urine routine, liver function, water and electricity