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患儿6岁,男性,因发热服用阿斯匹林0.25g,4h1次,共3次,总量0.75。12h后患儿自述上腹部疼痛,呕吐2次为暗红色胃内容物,每次量约30ml,排柏油样便2次约50～100g。查体:血压10/6kPa,精神萎靡,面色苍白,心、肺无异常。腹软,剑突下压痛明显,无反跳痛,肝、脾未触及,肠鸣音活跃。实验室检查:血常规RBC2.36×10~(12)L,Hb71g/L,WBC4.4×10~9/L,L0.65、N0.34,PLT149×10~9/L。出凝血时间、凝血酶原时间正常,肝功正常,大便潜血(+++)。小儿纤维胃镜检查:胃
Children 6 years old, male, taking aspirin due to fever 0.25g, 4h1 times, a total of 3 times, the total amount of 0.75.12h after children with upper abdominal pain, vomiting twice dark red stomach contents, each volume About 30ml, Pai Pao like it 2 times about 50 ~ 100g. Physical examination: blood pressure 10 / 6kPa, apathetic, pale, heart, lung no abnormalities. Abdominal soft, obvious xiphoid tenderness, no rebound pain, liver, spleen not touched, bowel sounds active. Laboratory tests: blood RBC2.36 × 10 ~ (12) L, Hb71g / L, WBC4.4 × 10 ~ 9 / L, L0.65, N0.34, PLT149 × 10 ~ 9 / L. A clotting time, prothrombin time is normal, normal liver function, fecal occult blood (+++). Pediatric fiber endoscopy: stomach