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患者男,28岁,因大量便血(约1000ml)6小时急诊入院。之前无腹痛、腹泻、恶心、呕吐、畏寒、发热等症状。有慢性萎缩性胃炎及小肠炎病史,但无鲜血便。查体:T36.4℃,P118次/分,Bp12/8kPa,轻度贫血貌,皮肤巩膜无黄染,浅表淋巴结未扪及,腹部平软,无压痛,未触及包块,肝脾肋下未触及,移动性浊音(-),肠鸣音活跃,肛门指诊指套染鲜血,未触及包块。实验室检查示:Hb100g/L,WBC14.8
The patient was 28 years old and admitted to the hospital due to massive blood in the stool (about 1000 ml) for 6 hours. There were no symptoms such as abdominal pain, diarrhea, nausea, vomiting, chills, and fever. There is a history of chronic atrophic gastritis and enteritis but no blood. Physical examination: T36.4°C, P118 beats/min, Bp12/8kPa, mild anemia appearance, no yellow stain on the skin sclera, superficial lymph node metastasis, abdominal softness, no tenderness, untouched mass, liver and spleen ribs Under untouched, mobile dullness (-), bowel sounds active, anal refers to the set of dyed blood, did not touch the mass. Laboratory inspection instructions: Hb100g/L, WBC 14.8