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A 69-year-old man with gastrointestinal exsanguination.

机译:一名69岁的男子因胃肠道放血。

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摘要

A 69-year-old man with suspected gastrointestinal bleeding was airlifted to our emergency department from an outlying facility. He had a history of hypertension and lung and esophageal cancer (which was in remission) and a distant history of occasional alcohol use. The man had an esophageal stent placed 2 weeks prior to presentation. He arrived at the transferring facility with a systolic blood pressure in the 70s (mm Hg). He was given 3 units of packed red blood cells and 2 L of normal saline solution. Upon arrival at our emergency department, the man's blood pressure had improved to 100/56 mm Hg. He was alert and oriented and complained of moderate, cramping pain in the mid-abdominal region. His stool tested positive for blood, but no gross bleeding was observed.
机译:一名疑似胃肠道出血的69岁男子从外围设施被空运到我们的急诊室。他有高血压,肺癌和食道癌(已缓解)的病史,并有偶尔饮酒的遥远病史。该男子在就诊前2周放置了食管支架。他以70年代(毫米汞柱)的收缩压到达转运站。给他3单位填充的红细胞和2升生理盐水。到达我们的急诊室后,该男子的血压已提高到100/56毫米汞柱。他机敏而定向,并抱怨腹部中部出现中度绞痛。他的粪便血液测试呈阳性,但未观察到大出血。

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