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1 临床资料 患者,男,46岁,民航飞行副大队长。执行乌鲁木齐飞往长沙航班任务时,突然上腹部疼痛,恶心、呕吐伴头昏,出冷汗,坚持到飞机着陆后,呕吐大量咖啡色液体,共800ml,四肢冰凉,送机场医务室予以输液支持治疗并转送我院急诊科抢救。既往有溃疡病史。查体:脉搏110次/min,血压10.6/5.3kPa(80/40mmHg),面色苍白,心率110次/min,律齐,心音弱,剑突下有深压痛,肠鸣音活跃。诊断为上消化道大出血、失血性休
1 clinical data patients, male, 46 years old, civil aviation flight deputy team leader. During the flight from Urumqi to Changsha, a sudden upper abdominal pain, nausea and vomiting accompanied by dizziness and cold sweat persisted until the plane landed and vomited a large amount of brown liquid, a total of 800ml, cold limbs, to the airport infirmary for infusion support treatment and Forwarded to our emergency department. Previous history of ulcer. Physical examination: pulse 110 beats / min, blood pressure 10.6 / 5.3kPa (80 / 40mmHg), pale, heart rate 110 beats / min, law Qi, phonocardial weak, deep tenderness under the xiphoid, bowel sounds active. Diagnosis of upper gastrointestinal bleeding, hemorrhagic Hugh