病例分析及医师查房会诊报告

CHINA PRACTICAL MEDICAL(2007)

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Abstract
患者女,53岁,因反复腹痛,解黑便半年.于2007年2月26日入院. 患者于半年前始无明显诱因下出现腹痛,以剑突下明显,呈持续性胀痛,阵发性绞痛,偶可放射至右背部,腹痛与进食与否无明显关系.呕吐非咖啡样胃内容物多次,为非喷射状呕吐,时有解黑色柏油样大便,具体次数不详,量约30 g/次,伴头晕、乏力、恶心,无畏寒、发热,无心悸、气促,无腹泻、里急后重,曾到当地医院就诊,以"消化性溃疡"予抑酸、输血等治疗后自觉腹痛缓解,无呕吐,但仍时解黑便.
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