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男,61岁,患十二指肠球部溃疡4年、慢性肝炎10年。无过敏病史。患者于1985年10月起上腹部持续隐瘸10天。反复使用胃舒平、胃得乐、氢氧化铝凝胶、丙谷胺、维生素U及颠茄类等药物,均无效。10月28日上午来诊。体查:血压正常,皮肤未见皮疹,心肺无异常,腹软,剑突下明显压痛,未扪及包块。主诊医生给服甲氰咪胍0.6g/日,加服常规治疗量的普鲁本辛、安定等药物。第2天中午起颈、胸部有灼热
Male, 61 years old, suffering from duodenal ulcer 4 years, chronic hepatitis 10 years. No history of allergy. The patient continued to conceal the upper abdomen for 10 days from October 1985. Repeated use of stomach Shuping, Stomach music, aluminum hydroxide gel, propylamine, vitamin U and belladonna and other drugs, are ineffective. October 28 morning consultation. Physical examination: normal blood pressure, no skin rashes, no abnormal heart and lung, abdominal soft, obvious tenderness under the xiphoid, palpable mass. The attending doctor gave Cimetidine 0.6g / day, plus conventional treatment of the amount of Prussianxin, stability and other drugs. On the second day noon neck, chest burning