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１ 病例资料【例１】 男，６５岁。主因反复呕吐、黑便３天就诊。入院前半小时突然呕吐大量暗红色血液２次，约１０００ｍｌ。既往有十二指肠球部溃疡病史。经扩容、抗休克后急诊行剖腹探查术。术中见十二指肠球部前壁溃疡瘢痕直径约１．５ｃｍ，常规行胃大部切除术。术后胃
1 case information [Example 1] male, 65 years old. Mainly due to repeated vomiting, melena 3 days treatment. Half an hour before admission, suddenly vomit a large amount of dark red blood twice, about 1000ml. Past history of duodenal ulcer. After the expansion, anti-shock emergency laparotomy. See intraoperative duodenal ulcer in the anterior wall of the scar diameter of about 1.5cm, conventional gastrectomy. Postoperative stomach