论文部分内容阅读
临床资料患者男,67岁。进食哽噎感15 d。既往有胆管癌、梗阻性黄疸并行胰头十二指肠切除、胃毕Ⅱ式手术病史12年,高血压病史8年。查体:血压120/80 mm Hg,心率86次/分,瘦长体型,消瘦面容,心肺查体正常,腹平坦,上腹正中见长约15 cm陈旧手术疤痕,肝脾肋下未及。白细胞3.71×109/L,血红蛋白99 g/L,红细胞2.98×1012/L。胃镜示距门齿30~33 cm见一隆起浸润性病变,管腔轻度狭窄,胃毕Ⅱ式术后改变,残胃底、体黏膜充血水肿,取病理示食管鳞
Clinical data Patient male, 67 years old. Smell the feeling of eating 15 d. Previously cholangiocarcinoma, obstructive jaundice parallel pancreatoduodenal resection, gastric surgery Ⅱ type 12-year history of surgery, history of hypertension for 8 years. Physical examination: blood pressure 120/80 mm Hg, heart rate 86 beats / min, slender body, thin face, normal cardiopulmonary examination, flat belly, upper abdomen median see about 15 cm old surgical scars, liver and spleen ribs. WBC 3.71 × 109 / L, hemoglobin 99 g / L, red blood cells 2.98 × 1012 / L. Gastroscopic distance from the incisors 30 ~ 33 cm to see a swelling infiltrative lesions, lumen stenosis, gastric completion of type Ⅱ postoperative change, the residual gastric fundus, mucosal congestion and edema, take the pathology of esophageal squamous cell carcinoma