论文部分内容阅读
1 临床资料患者,65岁,因呕血,柏油样便2天急诊入院。体检:血压127/70mmHg,贫血貌,神志清,巩膜、皮肤无黄染,浅表淋巴结不肿大,心率100次/分,律齐,各瓣膜区未闻及杂音,两肺呼吸音清晰,腹软,剑突下转压痛,肝脾肋下未触及。化验:血红蛋白60g/L,白细胞7.5×10~9/L,中性73％,淋巴27％,肝功能正常,大便潜血强阳性。入院后禁食、输血,西眯替丁(甲氰咪胍)0.4加入5％葡萄糖溶液中250ml 静脉滴注,每日2次。入院第3天(48小时后)患者出现意识模糊,定向障碍,伴有视、听幻觉和猜疑,
1 clinical data patients, 65 years old, due to hematemesis, asparagus will be 2 days emergency admission. Physical examination: blood pressure 127 / 70mmHg, anemia appearance, clear consciousness, sclera, no yellow skin, superficial lymph nodes, heart rate 100 beats / min, law Qi, the valve area did not smell and noise, Abdomen soft, under the xiphoid tenderness, liver and spleen ribs did not touch. Laboratory tests: Hemoglobin 60g / L, white blood cells 7.5 × 10 ~ 9 / L, 73% neutral, lymph 27%, normal liver function, fecal occult strong positive. After admission, fasting, transfusion, squinamide Ding (cimetidine) 0.4 added 5% glucose solution 250ml intravenous infusion, 2 times a day. On the third day after admission (48 hours later), patients developed confusion, disorientation, visual acuity, hallucinations and suspicions,