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韩某,男,71岁,农民。因右上腹痛、嗳气3个月,加重伴消瘦、乏力月余于1990年5月15日就诊。曾服胃药治疗,但症状反复。平素身体健康。体检:消瘦明显,心肺无异常。右上腹部轻度压痛,未触及包块,肝脾未触及。化验检查:血红蛋白80g/L,大便潜血(++),尿常规、肝功、腹部 B 超及 X 线胸片均正常。胃镜检查:胃角见0.7×0.6cm 凹陷性溃疡,白厚苔覆盖;十二指肠球部后壁及降部上段见一环形分布之巨大溃疡,底呈结节状凸
Han Mou, male, 71, farmer. Due to abdominal pain in the right upper quadrant and hernia for 3 months, heavier patients with weight loss and fatigue were treated on May 15, 1990. He had been treated with stomach medicine but the symptoms were repeated. Usually healthy. Physical examination: Obvious weight loss, no abnormal heart and lungs. Mild tenderness in the right upper abdomen, no palpable mass, liver and spleen not touched. Laboratory tests: hemoglobin 80 g/L, fecal occult blood (++), urine routine, liver function, abdominal B ultrasound, and X-ray. Gastroscopy: The antrum ulcer was found in the antrum of 0.7×0.6cm in the antrum, covered with thick white moss; a giant annular ulcer was seen on the posterior wall of the duodenal bulb and the descending segment of the duodenum. The nodule was convex at the bottom.