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病历摘要张×,女,21岁。住院号262993。因突然呕血1000毫升伴黑便于1983年4月8日入院。患者14年前因反复发热外院就诊时发现脾肿大。1972年因突然大量呕血黑便首次入院,行急症剖腹探查,发现脾脏肿大,肝脏质地、色泽及大小均正常,作脾切除术。术后一般情况良好。嗣后每年查“肝功能”一次,均正常。1983年4月又突然呕血500ml伴柏油样黑便,拟诊“肝硬化、食道胃底静脉曲张破裂出血”在我院内科行保守治疗,予止血敏,抗血纤溶
Medical record Zhang ×, female, 21 years old. Hospital number 262993. Due to a sudden hematemesis 1000 ml with black convenience April 8, 1983 admission. 14 years ago because of repeated fever patients found that the hospital treatment of splenomegaly. In 1972 for the first time a large number of hematoma massive hematemesis admission, emergency laparotomy exploration and found spleen enlargement, liver texture, color and size were normal, for splenectomy. After the general good condition. After each check “liver function” once, are normal. April 1983 and hematemesis 500ml suddenly with black asparagus, diagnosed “cirrhosis, esophageal varices bleeding” in our hospital conservative treatment, to stop bleeding sensitive, anti-fibrinolysis