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主治医师 请小陈医师汇报病历.小陈医师 患者男,42岁,3天前突然出现呕吐咖啡样液体100m,随后出现黑便2次,每次量约200ml,感头晕乏力,由家人陪其来院就诊.体检:T37.2℃,P96次/分,R26次/分,BP13/8kPa,神清,一般情况尚可,心肺(一),全腹平软,肝脾肋下未及,腹部未们及明显块物,也无触痛.听诊肠音活跃,大便隐血(+).急诊胃镜检查提示;十二指肠球部后壁有一约0.3cm溃疡,表面覆有血凝块,HP检测(十).
Attending physician Xiao Chen reported medical records Dr. Chen physicians male, 42 years old, 3 days ago suddenly vomit coffee-like liquid 100m, followed by black stool twice, each about 200ml, feeling dizzy and fatigue, accompanied by his family Physical examination: T37.2 ℃, P96 beats / min, R26 beats / min, BP13 / 8kPa, Shen Qing, the general situation is acceptable, cardiopulmonary (a), the whole abdomen is soft, No obvious obstruction and no block, no tenderness .Auscultation intestinal sounds active, fecal occult blood (+) .An emergency gastroscopy prompted; duodenal ball posterior wall of a 0.3cm ulcer, the surface covered with blood clots, HP Detection (ten).