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病例资料患者,男,16岁,头晕乏力2个月余,腹痛10d,加重10h。至当地医院就诊,查血常规示中性粒细胞6.35×109/L,红细胞3.91×1012/L,血小板486×109/L,潜血试验弱阳性。胃镜示:糜烂性胃炎;全大肠镜示未见明显异常,诊断为失血性贫血、消化道出血。经对症治疗好转后出院。10d前出现阵发性上腹痛,可耐受,无恶心、呕吐、发热,未诊治。10h前出现阵发性腹痛,呈进行性加重,进食时腹痛加剧,伴恶心,无发热、呕吐,排便、排气停止,体重下降3kg,门诊以消
Case data, male, 16 years old, dizziness, fatigue more than 2 months, abdominal pain 10d, increased 10h. To the local hospital, check the blood routine showed neutrophil 6.35 × 109 / L, red blood cells 3.91 × 1012 / L, platelet 486 × 109 / L, occult blood test weakly positive. Gastroscopy showed: erosive gastritis; colonoscopy showed no significant abnormalities, diagnosis of hemorrhagic anemia, gastrointestinal bleeding. After symptomatic improvement after discharge. 10d before the onset of paroxysmal upper abdominal pain, tolerable, no nausea, vomiting, fever, no diagnosis and treatment. 10h before the onset of paroxysmal abdominal pain, was progressive increase in aggravating abdominal pain when eating, with nausea, no fever, vomiting, defecation, exhaust stop, weight loss 3kg, out-patient to eliminate