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患者,男,45岁,以“间断黑便7月,加重7d,头晕1h”于2002年2月11日23时30分急诊入院。 7月前以“全身乏困无力半年,加重伴黑便2d”入院。入院前查骨髓涂片、腹部B超均未见异常。入院查体:重度贫血貌,心肺腹未见异常。血常规示:WBC:3.0×10~9/L,N:0.65,Hb:57g/L,肝功转氨酶稍增高。7月6日胃镜见:十二指肠球部积新鲜血液。诊断:(1)十二指肠溃疡。(2)胃贫血粘膜像。给奥美拉唑20mg,qd;腹痛黑便渐消失。7月13日复查胃镜报告示:浅表性胃炎,于14d后出院。出院诊断:十二指肠球部糜烂。
The patient, male, 45 years old, was admitted to the hospital at 23:30 on February 11, 2002 with “intermittent melena in July, aggravating 7d and dizziness 1h”. 7 months ago to “the whole body weakness weakness six months, aggravated with black stool 2d” admission. Check the bone marrow smear before admission, abdomen, B-no abnormalities were seen. Admission examination: severe anemia, no abnormal cardiopulmonary abdomen. Blood showed: WBC: 3.0 × 10 ~ 9 / L, N: 0.65, Hb: 57g / L, slightly elevated hepatic transaminase. July 6 Gastroscopy see: duodenal area of fresh blood. Diagnosis: (1) duodenal ulcer. (2) gastric anemia mucosa. To omeprazole 20mg, qd; abdominal pain black disappeared. July 13 review of endoscopy report: superficial gastritis, discharged after 14d. Discharge diagnosis: duodenal bulb erosion.