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患者×××男、70岁、皖籍、退休工人。于1983年8月22日因呕吐咖啡样液三次入院。缘因四肢关节疫痛求治于本厂医务室,接受炎痛喜康(Piroxicami河南省开封制药厂)20毫克每日一次,共服一周。服药次日即感到心窝都疼痛加剧,始解黑便,每日一次约300—500克,直至入院当天出现呕吐咖啡样内容物共三次计300毫升、自感眩晕、限花、心悸、乏力而住院。既往无胃病史,从无呕血及黑便史。查体:T36.6℃BP110/60毫米汞柱、神志清楚、贫血外貌、心肺无异常。全腹无压痛、肝脾未触及。化验:
× × × male patient, aged 70, Anhui, retired workers. On August 22, 1983 due to vomiting coffee sample three admission. Due to limb pain and limbs sought treatment in the factory clinic, receiving Yan Tong Kang (Piroxicami Henan Kaifeng Pharmaceutical Factory) 20 mg once daily for a total of one week. The next day I felt pain was aggravated heart, the first solution of melena, once daily about 300-500 grams, until the day of admission vomit coffee-like content of three times a total of 300 ml, self-induced dizziness, limited flowers, palpitations, fatigue and Hospitalized. Past history without stomach, from vomiting and melena history. Physical examination: T36.6 ℃ BP110 / 60 mm Hg, conscious, anemic appearance, no abnormal heart and lung. No abdominal pain, no contact with liver and spleen. assay: