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患者,男,18岁,农民。因与家人生气而口服卤水约100 ml,当时出现呕吐、上腹痛与腹泻,后四肢冰凉,于2002年8月9日急诊入院。入院后呕吐频繁,呕吐物初为咖啡色稀溶液,后为暗红色血液,量约200 ml。次日,排出柏油样大便1次,量约100 g。入院检查:体温36.5℃,脉搏52次/min,呼吸22次/min,血压110/70 mm Hg,神志清,精神差,皮肤黏膜苍白,四肢冰凉。两肺呼吸音正常。心率52次/min,律整齐,无杂音。腹平软,上腹部压痛明显,肠鸣音亢进。神经系统检查未发现异常。化验:周围血白细胞4.8×10~9/L,红细胞3.8×10~(12)/L,血小板236×10~9/L,血钙4.7mmol/L。心电图提示窦性心动过缓。入院
Patient, male, 18 years old, farmer. Oral Brine was about 100 ml orally because of being angry with her family. Vomiting, abdominal pain and diarrhea occurred at that time, and her limbs were cold. She was admitted to the emergency department on August 9, 2002. Frequent vomiting after admission, early vomit dilute solution of brown, dark red blood after the amount of about 200 ml. The next day, excretion of tarry stool 1, the amount of about 100 g. Admission examination: body temperature 36.5 ℃, pulse 52 beats / min, breathing 22 beats / min, blood pressure 110/70 mm Hg, clear consciousness, poor spirits, pale mucous membranes, extremities cold. Breath sounds normal both lungs. Heart rate 52 beats / min, law and order, no noise. Abdomen soft, obvious tenderness on the abdomen, bowel sounds hyperthyroidism. Nervous system examination found no abnormalities. Assay: Peripheral blood leukocytes 4.8 × 10 ~ 9 / L, red blood cells 3.8 × 10 ~ (12) / L, platelets 236 × 10 ~ 9 / L, calcium 4.7mmol / L. Electrocardiogram prompted sinus bradycardia. Admission