【简答题】![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)
病历摘要男性,42岁。反复出现上腹痛6年,再发1周,呕血、黑粪1天。患者6年来每于初冬季节反复出现上腹痛,多为空腹痛,进食可缓解,服用法莫替丁有效。1周来因受凉和劳累再次出现上述症状,自服中药无明显好转。1天来呕吐1次咖啡样物,约200ml,排黑色不成形粪便共3次,总量约900ml。自觉乏力、心悸。体重无明显下降。既往史:无肝胆疾病史。不饮酒,吸烟3年,10支/日。查体:T36.8℃,P96次/分,R18次/分,BP120/80mmHg。神清合作,自动体位,轻度贫血貌。未见肝掌及蜘蛛痣,巩膜无黄染,结膜轻度苍白。心、肺无异常。腹平软,剑突下轻度压痛,无反跳痛,未触及包块,肝脾肋下未触及,肠鸣音10次/分。实验室检查:WBC6.5×109/L,N0.70,Hb92g/L,PLT200×109/L。要求:根据以上病历摘要,请写出初步诊断及诊断依据、鉴别诊断、进一步检查与治疗原则。
![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAACAAAAAgCAYAAABzenr0AAAA5ElEQVRYR2NkGGDAOMD2M+B0wKpVq9huv/jbxPD/fxwDA4MkhQ59zsDIuEhVgrkuLCzsF7JZOB3QOml5B8P//+UUWoyqnZGxszovsoI4B0xc9gyfzxmZmb2rcsK3IRvWMWm599///7fgcfTz6vwoKWId8B+f75kZGX0q8iK3kugAhur8KJRQxx0FE5fhdQC5UTPqgNEQGA2B0RAYDYHREBgNgaETAuTW96TqG7yt4tbRFhGRIQBqHTP9+8dIoDUMTxqk5AK8zXKYiaDWMYhNpANIaJYPdMdkwLtmpOZnctUPeDkAAP6tmiH1ggTLAAAAAElFTkSuQmCC)
手机使用
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/share-ico-3febd.png)
分享
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/link-f6c98.png)
复制链接
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/weibo-3e538.png)
新浪微博
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/qq-1c308.png)
分享QQ
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/wechat-a78ae.png)
微信扫一扫
微信内点击右上角“…”即可分享
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/report-ico-11843.png)
反馈
![收藏 - 刷刷题](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/coll-ico-cfcc9.png)
收藏
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/jubao-9c477.png)
举报
参考答案:
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)
参考解析:
![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)