论文部分内容阅读
1 临床资料 患者男性,51岁。既往无肝、肾病史;有糖尿病病史半年。于2000年5月28日晚突然出现恶心、呕吐、体上腹部胀痛,泻稀水样便5次。持续2d不能进食水,24h尿量<50ml。于5月30日晚呕咖啡样物20ml以后来院就诊,急诊以呕血原因待查收住普通内科病房。查体:神志清,精神差,皮肤巩膜黄染,剑突下压痛(+),肝、脾肋下未及,肝区叩痛(-),双肾区叩痛(±),双下肢无水肿。心率80次/,min,血压20/13.3kPa给予止血敏静脉输液,适量补液及利尿等方案治疗。化验检查:血常规:WBC8.4
1 clinical data patients male, 51 years old. Past no liver, kidney history; a history of diabetes for six months. In the evening of May 28, 2000 nausea, vomiting, abdominal pain, sudden diarrhea, watery stools 5 times. Continuous 2d can not eat water, 24h urine output <50ml. On the night of May 30, 20 ml of vomit coffee samples were taken to the hospital for treatment. The emergency department was asked to check the general medical ward due to vomiting blood. Examination: Consciousness, poor spirit, skin scleral yellow dye, xiphoid tenderness (+), liver, spleen and ribs under the ribs, liver percussion (-), renal area percussion pain (±) Edema. Heart rate 80 beats / min, blood pressure 20 / 13.3kPa give stop bleeding sensitive intravenous infusion, appropriate rehydration and diuretic treatment. Laboratory tests: blood: WBC8.4