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讨论一、诊断部分:上消化道大量出血在内科急症中是常见的症状,如不及时救治,患者的生命将受到严重的威胁。呕血和黑粪都标志着上消化道(食道、胃及十二指肠)的大量出血。一般而言:幽门下出血易致黑粪、幽门上出血易致呕血。假如出血量少、在胃内不能引起恶心呕吐反射,则血液仍自下排出呈黑粪。黑粪可以不
Discussion First, the diagnostic part: a large number of upper gastrointestinal bleeding in medical emergencies are common symptoms, if not timely treatment, the patient’s life will be severely threatened. Both hematemesis and black droppings mark massive bleeding in the upper digestive tract (esophagus, stomach and duodenum). In general: easy to cause pyloric hemorrhage caused by black droppings, pyloric hemorrhage prone to vomiting blood. If the amount of bleeding less in the stomach can not cause nausea and vomiting reflex, the blood is still discharged under the black manure. Black manure can not