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例1 女性,49岁.反复腹痛、呕血、黑便30年.多在春秋季节发生,每年至少1—2次,多进食后2小时出现右上腹持续性隐痛、恶心,有时呕少量暗红色血,黑色便,有时成形,有时成糊状,每日2～3次,每次约150～250g不等.经门诊或住院治疗,l～2周好转.大便转黄后未做过除血检查.曾在县以上医院住院18次,胃镜检查14次均为慢性浅表性胃炎、十二指肠球炎;全消化道钡餐8次均无异常发现.再次发生黑便,院外治疗半月无好转,入我院.入院查体:T 37.2℃,重度贫皿
Example 1 Female, 49 years old. Repeated abdominal pain, vomiting, and melena for 30 years. Mostly occur in the spring and autumn season, at least 1-2 times per year, more than 2 hours after eating, there is persistent dull pain in the right upper abdomen, nausea, and sometimes a small amount of dark red blood , black, sometimes forming, sometimes into a paste, 2 to 3 times a day, each time about 150 ~ 250g range. After outpatient or hospital treatment, l ~ 2 weeks improved. Stool was not done after the removal of blood He had been hospitalized 18 times in hospitals above the county level, and 14 cases of gastroscopy were chronic superficial gastritis and duodenal inflammation. No abnormalities were found in 8 times of total digestive tract barium meal. Recurrence of black stools occurred, and there was no improvement in treatment after half of the month. , into our hospital. Admission examination: T 37.2 °C, severely stricken