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患者,27岁,因反复血便一个月,腹痛五天,于1988年5月10日人院.一个月前发现暗红色便,200～300ml/日,伴头晕、视物模糊、乏力、心悸。经当地医院应用止血剂及输血后,血便不止.五天来出现持续性全腹痛,伴恶心、呕吐,呕吐物为胃内容物.月经生育史:19(5～6)/(30～35)1988.2.2,孕1产Ⅰ,现一男孩1岁半。产后一个月恶露干净,年后曾先后行经三次,量中等,持续10～15天。发(?)后未行经,亦无不规则阴道流血.体检:严重贫(?)貌,皮肤无瘀点,浅表淋巴结不肿大.心率:120次/分,律齐。全腹部均有压痛,以下腹部明显,无
Patient, 27 years old, with one month of recurrent bloody stool and five days of abdominal pain, was hospitalized on May 10, 1988. A dark red color was found in a month ago, with 200-300ml / day, with dizziness, blurred vision, fatigue and palpitations. After local hemostatic agents and blood transfusions, bloody stool more than five days of persistent full abdominal pain, with nausea, vomiting, vomit for the stomach contents of menstrual history: 19 (5 ~ 6) / (30 ~ 35) 1988.2.2, pregnancy 1 production Ⅰ, a boy is 1 year and a half. Months after birth, lochia clean, after three years have been passed, the amount of medium, lasted 10 to 15 days. After the hair (?) Did not pass, nor irregular vaginal bleeding. Physical examination: severe poor (?) Appearance, skin petechia, superficial lymph nodes not swollen heart rate: 120 beats / min, law Qi. All abdominal tenderness, the following abdomen obvious, no