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1 病历摘要患者,男性,53岁,住院号42480。因呕血1小时入院。1年前因乏力、腹胀,浮肿住传染科,诊断“乙肝后肝硬化”。肝功能失代偿,低蛋白血症。经保肝、营养支持,利尿对症治疗好转,后间断服用利尿剂及中药,本次住院前1小时,呕吐咖啡色胃内容物,量约1000ml,同时感头晕、乏力、上腹部胀痛不适,无便血,不发热,急诊入院。查体:BP20/10.5kPa,精神
1 patient summary patient, male, 53 years old, hospital number 42480. 1 hour due to hematemesis admission. A year ago due to fatigue, abdominal distension, edema living infectious diseases, diagnosis of “hepatitis B cirrhosis.” Liver decompensation, hypoproteinemia. The liver, nutritional support, diuretic symptomatic treatment improved after taking diuretics and Chinese medicine, 1 hour before the hospital, vomit brown stomach content, about 1000ml, at the same time feeling dizzy, fatigue, abdominal pain discomfort, no Blood in the stool, no fever, emergency admission. Physical examination: BP20 / 10.5kPa, spirit