论文部分内容阅读
患者男性,34岁。因发热、头痛2天,认为患感冒,自行服用感冒通等药物。2天后出现恶心、呕血、腹痛、黑便,在当地医院做胃镜示:胃体近端至窦部四壁可见均匀分布类似丘疹样充血点,微突出,未见保护胃粘膜等治疗5天。症状无明显好转,并出现头晕、乏力、腰痛等症状,为进一步诊治收入我院。查体:心肺未见异常。上腹部压痛压,双肾压叩击痛,双下肢轻度指凹性水肿。WBC19.7×10~9/L,N O.80,L O.20。尿蛋白(++++),镜检红细胞(++),白细胞少许。B超
Patient male, 34 years old. Because of fever, headache for 2 days, that a cold, take their own cold and other drugs. 2 days after nausea, hematemesis, abdominal pain, melena, gastroscopy in the local hospital show: the proximal gastric body to the walls of the sinus can be seen evenly distributed similar to pimple-like congestion, slightly prominent, no protection of the gastric mucosa and other treatment for 5 days. No significant improvement in symptoms, and dizziness, fatigue, low back pain and other symptoms, income for further hospital treatment. Physical examination: no abnormal heart and lung. Upper abdominal tenderness pressure, renal pressure percussion pain, both lower extremity mildly concave edema. WBC19.7 × 10 ~ 9 / L, N O.80, L O.20. Urinary protein (++++), microscopic examination of red blood cells (++), leukocytes a little. B super