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患者男,47岁。确诊为慢性血吸虫病、血吸虫病性肝硬化、门脉高压、巨脾、脾亢。给予502、阿卡明、VC等护肝及利尿消肿对症治疗。腹水逐日消退,一般状态好转。住院第9天投以吡喹酮驱虫,剂量为60mg/kg,总量3g,分2天服完。服药中患者无明显不适感,疗程结束当晚,患者突感头晕,继而恶心呕吐多次,喷射状呕出鲜血共1,000ml。当即予以止血、输血及食道三腔管压迫等抢救措施,同时给乙酰谷酰胺及抗
Male patient, 47 years old. Diagnosis of chronic schistosomiasis, schistosomiasis cirrhosis, portal hypertension, spleen, hypersplenism. Give 502, Akamine, VC and other liver and diuretic swelling symptomatic treatment. Ascites day by day, the general state improved. On the 9th day of hospitalization, praziquantel was used to repel insects, the dosage was 60mg / kg, the total amount was 3g, and the dosage was finished in 2 days. Patients taking medication no significant discomfort, the end of the course of treatment, the patient suddenly felt dizzy, nausea and vomiting and then repeatedly, vomiting blood spray a total of 1,000 ml. Immediately to stop bleeding, transfusion and esophageal three-lumen oppression and other rescue measures, while giving acetyl glutamine and anti