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1 临床资料 患者女,57岁。因进食后梗阻感伴胸痛、呕吐3年加重就诊。患者3年前无明显诱因出现进食后梗阻感,偶伴胸骨后灼痛、呕吐,呕吐物为隔餐宿食。几年来无明显进行性加重及体重下降,近2d上述症状加重来诊。查体:老年女性,一般情况可,胸廓对称,胸骨后无压痛,双肺呼吸音清,未闻及干湿性罗音,心率为76次/min,律齐无杂音,BP 12/9kPa,腹部平软,未触及结节及包块,无压痛和反跳痛,肝脾未及,肝肾区无叩击痛。辅助检查:血Hb 130g/L,
1 Clinical data Female patient, 57 years old. Due to obstruction after eating with chest pain, vomiting aggravate for 3 years. 3 years ago, there was no obvious incentive for patients to feel obstruction after eating, accompanied by sore chest after burning, vomiting, vomit for meal accommodation. Over the past few years, no significant progressive increase and weight loss, the past 2 days to increase the symptoms of the diagnosis. Examination: elderly women, the general situation can be, chest symmetry, no tenderness after the sternum, lung breath sounds clear, unheard-of and wet and dry rales, heart rate 76 beats / min, Law Qi without noise, BP 12 / 9kPa, Abdomen flat soft, nodules and mass did not touch, no tenderness and rebound tenderness, liver and spleen not yet, perling area without percussion pain. Auxiliary examination: blood Hb 130g / L,