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患者,女,57岁,因“间断性上腹痛3天加重伴反酸、嗳气3小时”来就诊。胃镜示:慢性萎缩性胃窦炎。既往无药物过敏史,有慢性胃炎病史1个月,曾口服过“奥美拉唑胶囊”。查体:神志清,精神差,T 36.4℃、P 70min-1、R 18min-1、BP110mmH g/70mmH g。口唇无发绀,颈无抵抗,双肺呼吸清,无罗音,心率70min-1,律齐,各瓣膜无杂音,腹软,上腹部压痛阳性,无反跳痛,肝脾未触及,肠鸣音正常。查血细胞分析示:HGB:145g/L,WBC:10.42×109/L,N:0.773,L:0.236,PLT:172×109/L。尿十项示:蛋白质+,尿胆原+,以“慢性
Patients, female, 57 years old, because of ”intermittent upper abdominal pain 3 days with acid reflux, belching 3 hours “ to see a doctor. Gastroscopy showed: chronic atrophic gastritis. Past history of drug allergy, chronic gastritis history of 1 month, had been orally ”omeprazole capsules.“ Physical examination: conscious mind, poor spirit, T 36.4 ℃, P 70min-1, R 18min-1, BP110mmH g / 70mmH g. No cyanosis of the lips, the neck without resistance, lungs clear breath, no rales, heart rate 70min-1, law Qi, the valve without noise, abdominal soft, tenderness of the upper abdomen, no rebound pain, liver and spleen not touched, Normal sound. Blood cell analysis showed HGB: 145g / L, WBC: 10.42 × 109 / L, N: 0.773, L: 0.236, PLT: 172 × 109 / L. Urine ten items: protein +, urobilinogen +, to ”chronic