One case of upper digestive tract massive hemorrhage and shock due to gastric Dieulafoy disease after operation for liver cancer

病人男,36岁,主因肝区疼痛不适1周入院.查体:皮肤及巩膜无明显黄染,无肝掌,前胸可见数个蜘蛛痣.腹部饱满,肝脾触诊欠满意,移动性浊音阴性.辅助检查:WBC3.9×109/L,RBC 5.41×1012/L,Hb 174 g/L,PLT 61×109/L;HBsAg、HBeAb、HBcAb均阳性;ALT 56 U/L,胆红素正常.腹部CT:肝硬化、脾大;肝左叶占位.2003年12月3日行肝动脉导管造影及栓塞化疗术,术后给予抑酸、保肝等治疗,恢复顺利。