论文部分内容阅读
患者,男,69岁。于1991年4月20日以贫血原因待查住我院。主诉:上腹部闷胀不适,进食渐少,有时恶心20余天。后出现柏油样便,渐全身消瘦,乏力。体检:发育正常,营养差,面色苍白,未见出血点、黄染、皮疹,浅表淋巴结未触及。心肺正常,腹软,上腹部正中有轻度压痛,未触及肿块,肝脾未触及。实验室检查:Hb 50g/L,RBC 1.7×10~(12)/L,WBC10.8×10~9/L,DBC,N 0.87,L 0.12,M 0.01,大便潜
Patient, male, 69 years old. On April 20, 1991, the hospital was investigated for reasons of anemia. Chief Complaint: Swelling and discomfort in the upper abdomen, eating less, sometimes nausea for more than 20 days. After the appearance of tarry stools, it gradually became thin and weak. Physical examination: normal development, poor nutrition, pale face, no bleeding spots, yellow stains, rash, superficial lymph nodes not touched. The heart and lungs were normal, and the abdomen was soft. There was mild tenderness in the middle of the upper abdomen. No masses were touched. The liver and spleen were not touched. Laboratory tests: Hb 50 g/L, RBC 1.7×10 12/L, WBC 10.8×10 9/L, DBC, N 0.87, L 0.12, M 0.01, fecal potential