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临床资料患者,男,50岁。因食管癌术后21 d突发大量呕血1 h入院。患者因诊断胸下段食管癌于2013年4月7日行食管癌切除食管胃主动脉弓下吻合器吻合术,手术后第5 d开始进流质饮食、半流质饮食;术后第11 d出院。出院时无发热、胸闷,复查血常规正常,胸部X线片示:左侧胸腔有少量积液。患者于2013年4月28日即术后第21 d突然出现大量呕血,约1 000 ml。查体:一般情况较差,贫血貌,双肺呼吸音清
Clinical data patients, male, 50 years old. 21 days after esophageal cancer due to massive hematemesis 1 h admission. The patient underwent esophagogastric resection of esophageal and gastric aortic arch anastomosis anastomosis on April 7, 2013 because of diagnosis of thoracic esophageal cancer. On the 5th day after surgery, he began to enter the liquid diet and semi-liquid diet; and was discharged on the 11th day after operation. Discharged without fever, chest tightness, check the blood normal, chest X-ray showed: a small amount of left pleural effusion. On April 28, 2013, the patient developed massive hematemesis on day 21 postoperatively, about 1 000 ml. Physical examination: the general situation is poor, anemic appearance, lung breath sounds clear