论文部分内容阅读
病员男性,年龄40岁。入院前20小时,因饮酒后用手刺激咽部催吐,剧烈呕吐后发生呕血,不伴腹痛,即送我院急诊科,行口服去甲肾上腺素、凝血酶、洛赛克、输液加入止血芳酸,维生素K等治疗,其间仍呕血11次,便血2次,失血量约3000毫升,虽输血1200毫升,病情无好转收入我科。入院查,T36.8℃、P100次/分、R22次/分,BP11/9kPa。贫血貌、结膜苍白,心肺(一),腹软无压痛。血常规Hb42.9g/L,RBC1.43×10~(12)/L,WBC9.2×10~9/L,N0.9％,血球压积14％。病员无肝硬化及消化道溃疡病史。
Patient male, age 40 years old. 20 hours before admission, after drinking alcohol to stimulate pharyngeal vomiting, vomiting after vomiting, vomiting without abdominal pain, that is sent to our hospital emergency department, oral norepinephrine, thrombin, Losec infusion infusion hemostatic Fang Acid, vitamin K and other treatment, during which hematemesis is still 11 times, blood in the stool 2 times, blood loss of about 3000 ml, although the blood transfusion 1200 ml, no improvement in the condition of income into our department. Admission check, T36.8 ℃, P100 beats / min, R22 beats / min, BP11 / 9kPa. Anemia appearance, pale conjunctiva, cardiopulmonary (a), soft abdominal tenderness. Blood routine Hb42.9g / L, RBC1.43 × 10 ~ (12) / L, WBC9.2 × 10 ~ 9 / L, N0.9%, hematocrit 14%. Patients without cirrhosis and history of peptic ulcer disease.