论文部分内容阅读
女,61岁,以上腹痛半年伴黑便9d 之主诉就诊。查体:贫血貌,消瘦,心肺(-),左上腹可扪及一鸡蛋大小的包块,表面有不平感,有压痛,肝脾未及。Hb70g/L,大便潜血(+++)。1987年5月13日行胃镜检查,见胃内有大量的咖啡色粘液潴留,胃体至胃角处小弯前壁有一4cm×6cm 大小的肿块,表面不平,有糜烂,碰之易出血,取活组织病检为胃腺癌,于同年7月18日衰竭死亡。男,56岁.系上例的二弟。患者以进行性吞咽困难3月之主诉就诊.查体:心肺(-),腹软,剑突下有压痛,未扪
Female, 61 years old, complained of having complained of abdominal pain for more than half a year with melena 9 days. Physical examination: Anemia appearance, weight loss, cardiopulmonary (-), left upper abdomen can be paralyzed and an egg-sized mass, uneven surface, tenderness, liver and spleen is not. Hb70g/L, fecal occult blood (+++). The gastroscopy was performed on May 13, 1987. There was a lot of brown mucus retention in the stomach. There was a 4cm x 6cm lump on the anterior wall of the stomach from the stomach to the corner of the stomach. The surface was uneven, erosive, and it easily bleeded. His biopsy was gastric adenocarcinoma and he died on July 18 of the same year. Male, 56 years old. The patient complained of dysphagia in March. Checkup: Cardiopulmonary (-), soft abdomen, tenderness under the xiphoid process, failed