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患者女性,48岁,住院号75314。半月前经常食干食物后感到胸骨后烧灼样阵痛,不放射,无呕恶,有时头晕,乏力。近半月来吞咽困难,遂到医院检查,查体未发现异常。实验室检查:血沉65mm/小时。肝肾功能正常。吞钡检查,发现食管中上段一小的充盈缺损,中央覆有钡剂,粘膜中断,周边不规整,下段管壁似有僵硬感,上段管壁稍扩张,食管旁有肿大淋巴结影,1/万OT 试验弱阳性,对照试验阴性。纤维胃镜检查发现距门齿23cm 处食管右
Patient female, 48 years old, hospital number 75314. Half a month ago often dry food feel chest sore burning pain, no radiation, no vomiting, and sometimes dizziness, fatigue. Nearly half a month to swallowing difficulties, then went to the hospital for examination, physical examination found no abnormalities. Laboratory tests: ESR 65mm / hour. Liver and kidney function is normal. Barium swallow, found in the upper esophagus, a small filling defect, the center covered with barium, mucosal interruption, irregular periphery, the lower part of the wall seems to be stiff sense, the upper wall slightly expanded, adjacent to the esophagus with enlarged lymph nodes, 1 / Wan OT test weak positive, control test negative. Fiber gastroscopy found 23cm away from the incisors esophageal right