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患者,男,40岁,因黑便伴头昏、乏力4天,于1995年3月17日入院。经胃镜检查,诊断为“残胃吻合口溃疡”。1987年因胃小弯溃疡行胃大部切除术,术后无并发症,既往无肝胆疾患,无药物过敏史。查体:贫血貌,皮肤无出血点及蜘蛛痣,心肺正常,腹平软,上腹正中有一长约8cm手术疤痕,无腹壁静脉曲张,肝脾不肿大,剑突下轻压痛,余无异常。实验室检查:Hb 80g/L,RBC 2.95×10~(12)/L,WBC5.5×10~9/L,BPC120×10~9/L,尿常规正常,大便OB(+++),肝功能结果正常。肝、胆、脾、胰腺B超结果正常。入院后给予西咪替丁0.6g加入5％葡萄糖液中静脉
The patient, male, 40 years old, was admitted to hospital on March 17, 1995 due to dizziness and weakness caused by meconium. After gastroscopy, diagnosed as “residual gastric anastomotic ulcer.” In 1987 due to gastric ulcer ulcer subtotal gastrectomy, postoperative complications, past no hepatobiliary disease, no history of drug allergy. Physical examination: anemia appearance, skin no bleeding and spider nevus, normal heart and lungs, abdominal soft, middle abdomen has a length of about 8cm surgical scar, no abdominal varicose veins, liver and spleen is not enlarged, tenderness under the xiphoid, abnormal. Laboratory tests: Hb 80g / L, RBC 2.95 × 10-12 / L, WBC5.5 × 10 ~ 9/L, BPC120 × 10 ~ 9/L, normal urinalysis, stool OB (+++) Liver function results normal. Liver, gallbladder, spleen, pancreas B-normal results. After admission cimetidine 0.6g added 5% glucose solution vein