论文部分内容阅读
1病例资料患者,男,74岁,主因“呕血,黑便3 h”于2015年3月5日急诊就医。入院诊断为消化道出血、消化性溃疡。既往有高血压病和糖尿病。无药物及食物过敏史。体检:T 36.5℃,P78次/min,R 13次/min,BP 101/59 mmH g,中度贫血貌,心肺查体无特殊,腹软,未见腹壁静脉曲张,上腹部深压痛,无反跳痛及肌紧张,全腹未扪及明显包块,肝、脾肋下未扪及,Murphy’s征阴性,肝区及双肾区无叩痛,移动性浊音阴性,肠鸣音正
1 case data, male, 74 years old, mainly due to “hematemesis, melena 3 h ” in March 5, 2015 emergency medical treatment. Admission diagnosis of gastrointestinal bleeding, peptic ulcer. Previously had hypertension and diabetes. No history of drug and food allergies. Physical examination: T 36.5 ℃, P78 times / min, R 13 times / min, BP 101/59 mmH g, moderate anemia, no specific cardiopulmonary examination, abdominal soft, no abdominal varicose veins, Rebound tenderness and muscle tension, the whole abdomen without palpable mass, liver, spleen and ribs are not palpable, Murphy’s sign negative, liver and kidney area without percussion pain, mobility dullness negative, bowel sounds positive