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患者 男,40岁,于1995年7月29日因“左上腹持续性胀痛38天”入院。于40天前先后空腹食用蕃茄30余个,2天后左上腹胀痛不适,呈持续性,伴阵发性绞痛,向胸部、腰部放散。食欲不振,伴有恶心、呕吐、腹泻。呕吐一次为胃内容物,约300ml,腹泻为黄色稀便,每日3~5次,量少。病程中无发热、寒战、厌油、便血等症状。在当地乡卫生院以“胃病”给予中西药服用(具体药名与剂量不详),呕吐腹泻消失,但左上腹仍持续胀痛。门诊胃镜示胃内可见大
Male, 40 years old, was admitted to hospital on July 29, 1995 for “38 consecutive days of persistent upper abdominal pain.” In the 40 days before and after fasting tomato consumption more than 30, 2 days after the left upper quadrant pain discomfort, was persistent, with paroxysmal angina, to the chest, waist dissipated. Loss of appetite, nausea, vomiting, diarrhea. Vomiting once for the stomach contents, about 300ml, diarrhea yellow loose stools, 3 to 5 times daily, less. No fever in the course of the disease, chills, tired of oil, blood in the stool and other symptoms. In the local township hospitals to “stomach” to give Chinese and Western medicine (specific drug name and dose unknown), vomiting diarrhea disappeared, but the left upper quadrant continued to be painful. Outpatient gastroscopy showed large stomach