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患女,76岁,因呕血500ml伴黑便,于1993年4月6日入院。半年前因类似呕血、黑便入院,经纤维胃镜检查,提示食道静脉中度曲张,胃溃疡,重度浅表性胃炎。既往无慢性胸肺疾患、高血压及心脏病史。查体:神清,巩膜皮肤无黄染,见蜘蛛痣、肝掌,心肺无异常。腹膨隆,软,腹壁静脉无怒张,肝上界6肋,肋下未及,脾肋下3cm,无触痛,移动性浊音(+),下肢无水肿。实验室检查:白细胞2.8×10~(12)/L,中性0.57,淋巴0.42,弹核0.1,红细胞2.8×10~(12)/L,血红蛋白80g/L,血小板36×10~9/L,1min胆红质
Women, 76 years old, due to hematemesis 500ml with melena, was admitted on April 6, 1993. Six months ago due to similar vomiting, black will be admitted to the hospital by fiber endoscopy, suggesting moderate esophageal varicose veins, gastric ulcer, severe superficial gastritis. No previous chronic chest disease, hypertension and history of heart disease. Physical examination: God clear, sclera skin without yellow dye, see spider nevus, liver palms, no abnormal heart and lung. Abdominal bulge, soft, abdominal veins without rage, 6 ribs on the upper limit of the liver, the ribs under the ribs, ribs 3cm, no tenderness, mobility dullness (+), lower extremity no edema. Laboratory tests showed that leukocytes 2.8 × 10-12 / L, neutral 0.57, lymphoid lymphocytes 0.42, nuclei 0.1, erythrocytes 2.8 × 10-12 / L, hemoglobin 80g / L, platelets 36 × 10-9 / L , 1min bilirubin