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患者,男,30岁。因反复便血伴发热4月余于2002年3月28日急诊入院。患者于4个月前突然出现鲜血便,量约1 500ml,伴有头晕、心慌、黑蒙,在当地医院治疗后出血停止。此后出现发热,最高达40.2℃,抗生素治疗无效。自服强地松15～30 mg/d,可控制体温。1个半月前又出现鲜血便,量较第1次稍少,约1 000 ml,在当地医院止血。此次来诊为第3次便血,量约1 200 ml,伴有头晕、心慌。既往于2年前诊为声带鳞癌,
Patient, male, 30 years old. Due to repeated blood in the stool with fever in April more than March 28, 2002 emergency admission. The patient suddenly showed bloody stools 4 months ago, measuring about 1 500 ml, with dizziness, palpitation and darkness, stopping bleeding after treatment at a local hospital. Since then fever, up to 40.2 ℃, antibiotic treatment ineffective. Self-serving prednisone 15 ~ 30 mg / d, can control body temperature. A month and a half ago there was bloody stool, slightly less than the first one, about 1 000 ml, to stop bleeding at a local hospital. The visit to the third blood in the stool, about 1 200 ml, accompanied by dizziness, palpitation. Past 2 years ago diagnosed as vocal squamous cell carcinoma,