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患男,54岁,以阵发性上腹剧痛,饱胀伴恶心、呕吐4d入院。患者发病前近1月反复出现上腹胀痛,4d前因进食不当腹痛阵发性加重,伴恶心呕吐,于1993年12月20日入院。否认呕血,黑便史及肝胆胰疾患和溃疡病史。_ 体检:消瘦,贫血貌,上腹膨隆,见胃型及蠕动波,剑下明显压痛,肝脾未及,无腹水,肠鸣音正常。肝功正常,粪常规检查见蛔虫卵(++),浴血试验(-)。纤维胃镜检查见胃腔内大量蛔虫盘绕扭曲,幽门无法窥视、用活检钳反复抓
Male, 54 years old, with paroxysmal abdominal pain, fullness with nausea, vomiting 4d admission. Nearly 1 month before onset of patients with recurrent abdominal pain, 4d before improper eating improper abdominal pain paroxysmal aggravating, with nausea and vomiting, in December 20, 1993 admission. Denied vomiting, melena history and hepatobiliary and pancreatic disease and ulcer history. _ Physical examination: weight loss, anemia appearance, bulging upper abdomen, see stomach and peristaltic waves, the sword was tenderness, liver and spleen, ascites, bowel sounds normal. Normal liver function, normal examination see Ascaris eggs (++), bloody test (-). Fiber gastroscopy found in the stomach a large number of roundworm coil twisting, pyloric can not peep, with biopsy forceps repeatedly