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病例:患者男,64岁,因“反复恶心呕吐半年余,加重1个月”于2011年5月23日收治入院。患者半年前无明显诱因下出现恶心呕吐,呕吐物为宿食,伴有酸臭味,平均每日1次,量中等,伴胃脘部胀满不适,胸骨后烧灼感。曾多次前往当地医院就诊,胃镜检查示幽门管溃疡,病理示慢性溃疡伴腺上皮细胞轻度肠化生。予奥美拉唑等治疗后症状未缓解,近1个月症状加重。患者既往无乙型、丙型肝炎等慢性肝病史。入院查体左侧锁骨上淋巴结肿大。胃镜检查见幽门黏
Case: Male patient, 64 years old, because of “repeated nausea and vomiting more than six months, aggravating a month ” on May 23, 2011 admitted to hospital. Six months ago, there was no obvious incentive for patients with nausea and vomiting, vomit for the sustenance, accompanied by sour smell, an average of 1 day, the amount of moderate, with the Department of Stomach Department full of discomfort, sternal burning sensation. Have repeatedly visited the local hospital, gastroscopy showed pyloric ulcer, chronic ulcer pathology showed mild intestinal metaplasia. After omeprazole and other symptoms did not alleviate the symptoms, the symptoms aggravated nearly 1 month. None of the past patients with B, hepatitis C and other chronic liver disease history. Admission examination of the left supraclavicular lymph nodes. Gastroscopy see pylorus sticky