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1病例资料患者田某,男性,79岁,农民,于2012年2月14日因“呕血、血便6+小时”就诊。6+小时前,患者出现无明显的突发呕吐,呕吐暗红色血3次,量约200ml,解暗红色血便2次,量约100ml,感头晕、乏力,无发热、黄疸、反酸、烧心、吞咽困难、腹胀腹痛、晕厥等。既往体检,4+前因右下肢不明原因的疼痛、活动障碍,在外口服药物治疗,无其他特殊病史。查体见:血压91/61mmHg,腹软,危险胃肠型,无压痛、反跳痛及肌紧张等。入院考虑诊断为急性上消化道出血,即行抑酸、止血,维持水电解质平衡治疗,并进行相关
1 case data patients Tianmou, male, 79 years old, farmer, on February 14, 2012 due to “vomiting blood, bloody stool 6 + hours ” treatment. 6+ hours ago, the patient showed no obvious sudden vomiting, vomiting dark red blood 3 times, the amount of about 200ml, solution of dark red bloody stool twice, the amount of about 100ml, feeling dizzy, fatigue, no fever, jaundice, acid reflux, heartburn , Swallowing difficulties, abdominal distension, fainting, etc. Previous physical examination, 4 + cause of unexplained right lower extremity pain, mobility disorders, oral medication, no other special medical history. Check the body see: blood pressure 91 / 61mmHg, abdominal soft, dangerous gastrointestinal type, no tenderness, rebound tenderness and muscle tension. Admission to consider the diagnosis of acute upper gastrointestinal bleeding, that line OK acid, stop bleeding, maintaining water and electrolyte balance treatment, and related