论文部分内容阅读
患男,46岁.反复发作性上腹痛25年,加重5个月于1992年5月4日入院.1967年病人出现上腹隐痛、嗳酸,进餐或饮水后缓解.1972年排黑便二次,以“胃溃疡出血”治愈.之后经常服用胃友、猴头菌片,止痛效果良好.近5个月上腹痛加剧,一般治疗无效,改服雷尼替丁及快胃片后腹痛缓解.同年3月21日便血4次住院,上消化道钡餐摄片示食管、贲门无异常;胃体小弯侧见一巨大充盈缺损,约5cm×10cm,其内见半月状腔内龛影,龛影内缘出现“环堤征”.胃粘膜中断、破坏,局部胃壁蠕动消失.意见:胃小弯癌侵及胃窦部及十二指肠.因病变届晚期,外院放弃手术.病人食纳减少,日渐消瘦.本院复查胃镜见胃小弯侧55cm～65cm处胃壁僵硬,局部隆起,水
Suffering from male, age 46. Recurrent upper abdominal pain for 25 years, aggravating 5 months admitted to hospital on May 4, 1992. 1967 patients with upper abdominal pain, belonged to acid, eating or drinking relieved. Times, to “stomach ulcer hemorrhage” cure.After often taking stomach friend, Hericium tablets, analgesic effect is good.Acute abdominal pain intensified in the past 5 months, the general treatment is ineffective, change service after taking ranitidine and fast stomach tablets ease the pain In the same year on March 21 four were admitted to the blood in the stool, barium meal upper gastrointestinal tract showed esophagus, cardiac dysfunction; gastric lesser curvature side see a huge filling defect, about 5cm × 10cm, Kanying appears inside the edge of the “ring embankment levy.” Gastric mucosal interruption, destruction, local gastric motility disappeared. Opinion: Invasion of gastric lesser curvature of the antrum and duodenum. Due to advanced disease, the hospital to give up surgery. To reduce, getting thinner .Retrospective endoscopy in our hospital to see the lesser curvature side of the stomach 55cm ~ 65cm at the stomach wall stiffness, local uplift, water