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女性,60岁,饭后上腹部饱胀感10余年,无泛酸,嗳气;周期性上腹痛。近来情况加重,入院前2天发现大便黑色,入院当天呕出400ml咖啡样液体,伴有血块。拟诊:消化道出血,慢性胃炎,胃十二指肠溃疡。 入院后体检:一般情况尚可,神清,贫血貌,皮肤,巩膜无黄染,心肺(-)。腹部平软,中上腹剑突下无明显压痛。实验室检查:Hb 5g、RBC 170万,
Females, 60 years old, had a full stomach sensation in the upper abdomen after a meal for more than 10 years. There was no pantothenic acid and belching. The abdominal pain was cyclical. Recently, the condition was worsened. Black stools were found 2 days before admission and vomited 400 ml of coffee-like fluid on the day of admission, accompanied by blood clots. To be diagnosed: gastrointestinal bleeding, chronic gastritis, gastroduodenal ulcer. Physical examination after admission: The general condition is fair, clear, anemia appearance, skin, yellow stained sclera, heart and lung (-). The abdomen was soft and there was no tenderness under the xiphoid. Laboratory tests: Hb 5g, RBC 1.7 million,