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患者男,18岁,主因腹痛伴黑便2周,双下肢散在瘀点3d入院。2周前感冒后出现脐周持续性隐痛,阵发性加重,伴黑便,在卫生队考虑上消化道出血、溃疡病,给予抑酸、保护胃黏膜、止血、解痉对症治疗,腹痛有所缓解,但仍反复发作,入院前3d出现双下肢少许散在瘀点。入院体格检查:一般情况好,双肺呼吸音清,未闻及啰音;心率72次/min,律齐,无病理性杂音;腹部平软,无压痛、反跳痛,肝
Male patient, 18 years old, mainly due to abdominal pain with melena 2 weeks, both lower extremities peaking stasis 3d hospitalization. 2 weeks ago after the onset of colds persistent umbilical pain, paroxysmal aggravated, with melena, consider the upper gastrointestinal bleeding in the health team, ulcer disease, to give acid, protect the gastric mucosa, bleeding, antispasmodic symptomatic treatment, abdominal pain are Relieved, but still recurrent, three days before admission appeared a little scattered in both lower extremities petechiae. Admission physical examination: good general, lung breath sounds clear, unheard and rales; heart rate 72 beats / min, law Qi, no pathological murmur; abdominal soft, no tenderness, rebound tenderness, liver