论文部分内容阅读
患者,女,79岁,因“腹泻、呕吐1 d,呕血半小时”入院。患者1 d前出现腹疼,腹泻,稀水样便,共10余次,无脓血。呕吐4次,呕吐物为胃内容物,半小时前出现呕血,呕吐物含鲜血,急入院就诊。既往身体健康。入院查体:神志清,精神差,双肺呼吸音清,未闻及干湿啰音。心律齐,各瓣膜未闻及病理性杂音。腹平软,剑突下及脐周压痛,无反跳痛。
Patients, female, 79 years old, due to diarrhea, vomiting 1 d, hematemesis for half an hour "admission. Abdominal pain, diarrhea, watery stools were seen in patients 1 day before, a total of more than 10 times, no abscess blood. Vomit four times, vomit for the stomach contents, half an hour ago there vomiting, vomit blood, urgently hospitalized. In the past, good health. Admission examination: conscious, poor spirits, lung breath sounds clear, no smell and wet and dry rales. Qi heart, the valve is not known and pathological murmur. Abdomen soft, under the xiphoid and umbilical tenderness, no rebound tenderness.