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患者 女 ,2 0岁。 5年来反复出现上腹部疼痛伴反酸嗳气。出现解黑便及呕血 ,伴头晕、眼花及乏力 2ｄ入院 ,体查 :体温 38 2℃ ,脉搏 1 2 6次 /ｍｉｎ ,呼吸 2 2次 /ｍｉｎ ,血压 1 2 0 /75ｍｍＨｇ ,急性重病容 ,贫血貌 ,心肺正常 ,腹平软 ,上腹部轻压痛 ,无反跳痛 ,肝脾未触?
Female patient, 20 years old. Repeated over 5 years with abdominal pain with acid reflux. Appeared black nausea and hematemesis, with dizziness, vertigo and fatigue 2d admission, physical examination: body temperature 38 2 ℃, pulse 126 / min, breathing 2 2 times / min, blood pressure 120 / 75mmHg, Anemia appearance, normal heart and lungs, abdominal soft, mild tenderness on the abdomen, no rebound pain, liver and spleen not touch?