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1 临床资料 患者,男,1988年11月14日饮酒后出现上腹部不适、恶心、呕吐,呕吐物开始为胃内容物,后呕出咖啡色液体约500 ml,排柏油样便200g,经当地医院治疗后好转,11月19日因食苹果再度呕血、黑便,转入我院。否认误服腐蚀剂及异物史,既往无食管疾病史。体检:体温38℃,脉搏90次/min,血压13.5/8kPa,贫血貌,心肺无异常,腹软,肝脾未触及,剑突下轻度压痛,肠鸣音存在。Hb40g/L,WBC8.4×10~9/L,中性0.69,淋巴0.30,酸性0.01。 入院后经输血、止血等综合治疗,大便隐血转阴性,5d后体温正常,但渐出现胸骨后刺痛并有梗阻感,
1 Clinical data Patients, male, November 14, 1988 After drinking alcohol, upper abdominal discomfort, nausea, vomiting, vomit began to stomach contents, after vomit brown liquid about 500 ml, asparagus-like 200g, the local hospital After treatment improved, on November 19 due to eating apple again hematemesis, melena, into our hospital. Denied mistakenly corrosive agents and foreign body history, past history of esophageal disease. Physical examination: body temperature 38 ℃, pulse 90 beats / min, blood pressure 13.5 / 8kPa, anemia appearance, no abnormal heart and lung, abdominal soft, liver and spleen not touched, mild tenderness under the xiphoid, bowel sounds exist. Hb40g / L, WBC8.4 × 10 ~ 9 / L, neutral 0.69, lymphatic 0.30, acidic 0.01. Admission by transfusion, bleeding and other comprehensive treatment, fecal occult blood negative, normal body temperature after 5d, but gradually appear after the sternum sting and a sense of obstruction,