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男,2 6/12岁。因呕吐咖啡色液体及鲜血3天入院。入院前3天突然呕吐咖啡色液体4次,量约200ml,继之呕吐鲜血1次,约30ml,并解黑便1次,约60ml,无发热及腹痛,尿色微黄。既往于1岁时曾有反复呕吐病史,1 11/12岁曾因呕吐咖啡色液体及解黑便住院治疗,当时血液系统检查无异常,经保守治疗10天痊愈,但未进一步检查。患儿父亲1990年有十二指肠息肉合并肠梗阻病史,已行手术治疗。入院体检:急性失血病容,皮肤无黄染及出血点,口唇粘膜及右手食指可见9个不规则、约1mm大小
Male, 2 6/12 years old. Due to vomiting brown liquid and blood 3 days admitted. 3 days before admission suddenly vomit brown liquid 4 times, the amount of about 200ml, followed by vomiting blood 1, about 30ml, and black solution will be 1, about 60ml, no fever and abdominal pain, urine yellowish yellow. Past history of recurrent vomiting at 1 year of age, 1 11/12 years old was vomiting brown liquid solution and black hospitalization, when the blood system examination was normal, conservative treatment for 10 days cured, but without further examination. Children with his father in 1990 had a history of duodenal polyps with intestinal obstruction, surgery has been performed. Admission medical examination: Acute hemorrhagic disease, no yellow skin and bleeding points, lip mucosa and right index finger visible 9 irregular, about 1mm size