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病历摘要: 例1,男性,25岁,因上腹痛伴反酸5年,黑便3天,行胃镜检查确诊为十二指肠球部溃疡于1986年5月20日收住院。给予甲氰咪呱每日1.0g口服。服药第26天,自觉脐周隐痛并腹泻5次,此后腹泻次数渐增多,至第28天达7次,为含有血、脓和粘液粪便。追问病史,近日无生凉及不洁饮食,无慢性腹泻病史。行大便培养无致病菌生长、纤维结肠镜检查见肠粘膜广泛充血水肿,乙状结肠有多个形状不规则、深浅不一的溃疡。遂停用甲氰咪呱口服,症状消失。3月后行纤维结肠镜随访,溃疡愈合。
Medical records summary: Example 1, male, 25 years old, due to abdominal pain with acid reflux for 5 years, black stool 3 days, gastroscopy confirmed duodenal ulcer on May 20, 1986 admitted to hospital. Give cimetidine 1.0g orally daily. On the 26th day of taking medicine, conscious umbilical weeks of pain and diarrhea 5 times, then the number of diarrhea increased gradually to 28 days up to 7 times, with blood, pus and mucus stool. Asked history, no recent cold and dirty diet, no history of chronic diarrhea. Line stool culture without pathogen growth, fiber colonoscopy see extensive congestion and edema of the intestinal mucosa, the sigmoid colon has a number of irregular shape, different shades of ulcers. Then deactivated cimetidine oral, the symptoms disappear. March follow-up colonoscopy, ulcer healing.