论文部分内容阅读
男婴,2月。因黑粪伴面色苍黄1个月于1979年2月8日住院。入院体检除面色较苍白外,无其他特殊征象。实验室检查红细胞190万/立方毫米,血色素6克％,出凝血时间及凝血酶原时间均正常,大便隐血强阳性。诊断为上消化道出血。3月21日钡餐X线检查,发现胃底有软组织块影,约4×4.5厘米,几乎占据整个胃体,肿块边缘光整,略呈分叶状,表面部分钡影不规则。钡剂从食管进入贲门后改道,围绕肿块从胃底沿胃体大弯侧进入胃窦(图1)。胃管内注气后双重对比造影显示胃扩张良好,胃壁柔
Baby boy, February. He was hospitalized on February 8, 1979 due to his dark complexion and pale yellow for 1 month. In addition to the pale appearance of the admission examination, there were no other special signs. Laboratory examination of red blood cells 1.9 million / cubic millimeters, 6 grams of hemoglobin, the clotting time and prothrombin time are normal, strong stool occult blood positive. Diagnosis of upper gastrointestinal bleeding. March 21 barium meal X-ray examination, found that the bottom of the stomach with a soft tissue shadow, about 4 × 4.5 cm, almost occupy the entire body, the edge of the tumor is smooth, slightly lobulated, the surface part of the shadow irregular. The elixir was diverted from the esophagus to the cardia and the lumps entered the gastric antrum from the bottom of the stomach along the large curvature of the stomach (Figure 1). Double contrast angiography after intragastric gas injection shows good gastric dilatation and soft stomach