Case 10-1999
Case 10-1999
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案例10-1999
DOI：
10.1056/nejm199904083401408
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Jean
中科院分区：
文献类型：
--
作者：
David C. Harmon;E. Mark;Jean
病例介绍：一名53岁男性因急性肾衰竭、皮质盲和呼吸窘迫入院。患者一直很好，直到五个月前出现进行性上腹痛。入院前11周进行的体格检查仅显示轻度、弥漫性腹部压痛。直肠检查显示正常结果，潜血试验呈阴性。血液学和血液化学值正常，酶、癌胚抗原和前列腺特异性抗原水平也正常。幽门螺杆菌抗体检测呈阳性。患者不能耐受奥美拉唑或克拉霉素，…
Presentation of Case A 53-year-old man was admitted to the hospital because of acute renal failure, with cortical blindness and respiratory distress. The patient had been well until five months earlier, when progressive epigastric pain developed. A physical examination performed 11 weeks before admission showed only mild, diffuse abdominal tenderness. A rectal examination showed normal findings, and a test for occult blood was negative. Hematologic and blood chemical values were normal, as were the levels of enzymes, carcinoembryonic antigen, and prostate-specific antigen. A test for antibodies to Helicobacter pylori was positive. The patient was unable to tolerate omeprazole or clarithromycin, . . .