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已知糜烂性胃炎可因动脉粥样硬化栓塞引起,本文报告1例继发于单纯慢性缺血。患者女性,69岁,因心绞痛入院。5个月来感上腹及左上腹痛,发生于餐后5~10分钟,持续1~2小时,偶有呕吐,餐后4~6小时常有2~4次暴发性水样大便。2周来因此而仅进少量流质。体重减轻20磅。入院前几周无服用阿司匹林、饮酒及胃刺激物史,口服药包括铁剂、硝酸盐类及心得安。入院后心绞痛稳定。给予抗酸
Known erosive gastritis can be caused by atherosclerosis embolism, the paper reported one case secondary to simple chronic ischemia. Female patient, age 69, admitted to hospital for angina. 5 months to feel upper abdomen and left upper abdominal pain occurred in the postprandial 5 to 10 minutes for 1 to 2 hours, occasional vomiting, 4 to 6 hours postprandial often 2 to 4 times outbreaks of watery stool. For two weeks, only a small amount of liquid was introduced. Weight loss 20 pounds. A few weeks before admission, no aspirin, alcohol and gastric irritation history, oral medication including iron, nitrates and propranolol. After admission, angina pectoris was stable. Give acid