论文部分内容阅读
临床资料患者,男,49岁,既往高血压病史3年,因“进行性吞咽困难伴消瘦2个月余”入院。入院时仅能进食少量流质饮食,近2个月体重减轻约6 kg。查体:血压170/106 mm Hg,未触及锁骨上淋巴结,心肺听诊正常。食管钡餐:胸下段见长约4 cm管腔狭窄,管壁僵硬,局部黏膜破坏,有软组织肿块影。胃镜检查示:距门齿30~34 cm前壁见占管腔1/2的新生物,中央溃烂,周边不规则隆起;
Clinical data Patients, male, 49 years old, the history of previous hypertension for 3 years, because of “progressive dysphagia with weight loss more than 2 months ” admission. Admission can only eat a small amount of liquid diet, weight loss in the past 2 months about 6 kg. Examination: blood pressure 170/106 mm Hg, did not reach the supraclavicular lymph nodes, cardiopulmonary auscultation normal. Esophageal barium meal: about 4 cm lower thoracic stenosis, wall stiffness, local mucosal damage, soft tissue mass. Gastroscopy showed: from the incisors 30 ~ 34 cm anterior wall to see the new tube accounted for 1/2 of the living, central ulceration, the surrounding irregular uplift;