论文部分内容阅读
患者女,18岁。因突然呕血半天入院。患者于1个月前有上腹部胀满感伴恶心,厌食。逐渐出现四肢粗大震颤,上肢重于下肢,有时尚有手足徐动,面部表情怪异,动作不协调等症状。于6小时前无诱因的出现呕血3次,始为鲜红色伴有血块及胃内容物,后呈咖啡色,总量约1500ml。既往健康。其姐5年前因“肝病”死亡。查体;体温36.8℃,脉博110次/分,呼
Patient female, 18 years old. Due to sudden hematemesis admitted to hospital for half a day. 1 month ago, patients with upper abdominal fullness associated with nausea, anorexia. Rough limbs gradually trembling, upper extremity heavier than the lower limbs, there are stylish hand and foot Xu move, weird facial expressions, motor uncoordinated and other symptoms. No incentive at 6 hours before the emergence of vomiting 3 times, beginning with a bright red blood clots and stomach contents, was brown, a total of about 1500ml. Past health. Its sister died of “liver disease” 5 years ago. Physical examination; body temperature 36.8 ℃, Pulse Bo 110 times / min, call