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某部相继发生两例飞行员因节日饮酒,诱发上消化道大出血,现报告如下。 1 病例报告 例1男,34岁,飞行副大队长,飞行时间1200h。既往患慢性十二指肠球部溃疡,节日会餐,饮入38度白酒约200ml后胃部不适、疼痛、恶心,当夜11时至次日晨6时共排柏油便3次,量多。患者头昏、乏力、心慌、四肢发冷,血压12.0/6.6 kPa(90/50 mmHg),脉搏120次/min,血红蛋白68g/L。急送医院,经胃镜检查确诊为十二指肠球部溃疡出血。给予止血、输血、补液,病情稳定后出院。后发作2次,行胃大部切除而停飞。
A follow-up occurred in two pilots due to holiday drinking, induced upper gastrointestinal bleeding, are as follows. 1 case report 1 male, 34 years old, deputy chief of flight, flight time 1200h. Previously suffering from chronic duodenal ulcer, the festival dinner, drink 38 degrees after about 200ml white wine stomach discomfort, pain, nausea, night 11 o’clock to 6 o’clock the next morning a total of 3 times the asphalt, the amount of more. Patients were dizziness, fatigue, palpitation, cold extremities, blood pressure 12.0 / 6.6 kPa (90/50 mmHg), pulse 120 beats / min and hemoglobin 68g / L. Rushed to the hospital, confirmed by gastroscopy duodenal ulcer bleeding. Give hemostasis, blood transfusion, rehydration, stable condition after discharge. After the episode 2 times, the line of gastrectomy and stop flying.