例1:男,50岁。10年前开始上腹部无规律性隐痛,消瘦,曾服胃舒平有效。4年后转为针刺样痛,进食后加重。曾在某院钡餐检查诊断为胃溃疡;长期以胃舒平、甲氰咪呱及中草药交替治疗。近1年来上腹部烧灼样痛,伴有嗳气反酸,解柏油样大便2次。考虑胃溃疡恶变。胃镜检查,见胃腔内有大量黄绿色粘液,在胃角小弯侧靠前壁见一4.5×3.5cm溃 Example 1: Male, 50 years old. 10 years ago began irregular upper abdomen pain, weight loss, had served Shu Shiping effective. 4 years after acupuncture-like pain, increased after eating. Have a barium meal examination in a hospital diagnosed as gastric ulcer; long-term stomach Shuping, Cimici and Chinese herbal alternative treatment. Nearly a year of burning pain on the abdomen, accompanied by belching acid reflux, solution-like stool 2 times. Consider malignant gastric ulcer. Gastroscopy, see the stomach cavity with a large number of yellow-green mucus, in the corner of the lesser curvature of the front wall to see a 4.5 × 3.5cm ulceration