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杨××,男,35岁,工人。上腹部疼痛反复发作一年多,1979年12月21日晚加菜喝酒,次日上午9时,自觉上腹部不适及拉稀烂黑便约1000毫升,当即昏倒在厕所而急诊入院。一体检:体温36℃,脉搏120次/分,呼吸38次/分,血压90/70毫米汞柱。神清,重病容,面色、结合膜苍白,呼吸急促,脉细弱,心律整未闻病理性杂音,两肺呼吸音清晰,腹部饱满、软,剑突下压痛,无反跳痛,肝脾未触及,腹壁静脉无显露,肠鸣音存在。血象:红细胞380万,血色素74%,白细胞12,300,中性84%,淋巴14%,嗜酸性2%。入院诊断:①溃疡病合并出血;②出血性休克。住院经过:先收住内科,经补液输血及注射止血药后病情无好转,当天下午2时又
Yang × ×, male, 35 years old, worker. Repeated onset of abdominal pain over more than one year, December 21, 1979 late plus drink, the next day at 9 am, consciously abdominal discomfort and pulpy black about 1000 ml, immediately collapsed in the toilet and emergency admission. A physical examination: body temperature 36 ℃, pulse 120 beats / min, breathing 38 beats / min, blood pressure 90/70 mm Hg. God clear, seriously ill, complexion, pale membrane, shortness of breath, weak pulse, heart rhythm whole unheard of pathological murmur, clear breath sounds of both lungs, full belly, soft, xiphoid tenderness, no rebound tenderness, liver and spleen not Reached, no ventral abdominal veins, bowel sounds exist. Blood: 3.8 million red blood cells, hemoglobin 74%, leukocytes 12,300, 84% neutral, lymphatic 14%, 2% eosinophilic. Admission diagnosis: ① ulcer disease with bleeding; ② hemorrhagic shock. After hospitalization: first admitted to medicine, after rehydration transfusion and injection of hemostatic condition did not improve, the same day at 2 pm