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患者女,57岁,因反复呕血10d入院。入院前10d无明显诱因出现呕暗红色胃内容物1次,量约500ml,伴头晕、心悸不适,无排黑便、血便,无腹痛、发热等,就诊外院,给予制酸、止血等处理后,症状改善。1d前无明显诱因再次出现呕鲜血3次,伴乏力、头晕、一过性晕厥,急诊我院。测血压为80/52mmHg(1 mmHg=0.133kPa),查血常规:WBC5.6×109/L,HGB 81g/L,PLT 230×109/L,血凝
Female patient, 57 years old, due to repeated vomiting 10d admission. 10d before admission there was no obvious incentive to vomit dark red stomach contents 1, the amount of about 500ml, with dizziness, palpitations discomfort, no row of meconium, bloody stools, no abdominal pain, fever, etc., to the hospital, giving acid, stop bleeding and other treatment Symptoms improve. 1d before no obvious incentive to vomit blood again 3 times, with fatigue, dizziness, transient syncope, emergency hospital. The blood pressure was measured at 80/52 mmHg (1 mmHg = 0.133 kPa). The routine blood tests were: WBC 5.6 × 109 / L, HGB 81 g / L, PLT 230 × 109 / L,