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患者男,45岁,因纳差、上腹痛3年就诊。体检:生命体征正常,极度消瘦,贫血貌,心肺(-),腹平软,剑下明显压痛,未及包块,肝脾未及。化验:Hb77g/L,血浆总蛋白46g/L,白蛋白31g/L,肝、肾功能正常。X线检查:胃体皱襞巨大,蠕动减少,运动缓慢。胃镜示:皱襞巨大,充气后不消失,其表面布满水泡样物。活俭:质地软,易出血,胃窦及十二指肠粘膜充血、水肿明显。胃体病理报告:粘膜明显增厚,腺窝明显延长、屈曲,腺管扩张,可见多数分泌粘液的细胞,提示为肥厚增生性胃炎。
Male patient, 45 years old, due to anorexia, upper abdominal pain for 3 years treatment. Physical examination: vital signs were normal, extremely thin, anemic appearance, heart and lung (-), abdominal soft, obvious tenderness under the sword, not mass, liver and spleen not yet. Assay: Hb77g / L, total plasma protein 46g / L, albumin 31g / L, liver and kidney function is normal. X-ray examination: gastric folds huge, decreased motility, slow motion. Gastroscopy shows: a huge folds, does not disappear after inflating, the surface covered with blisters like. Thrifty: soft texture, easy bleeding, gastric antrum and duodenal mucosal congestion, edema significantly. Gastric pathology report: mucosa was significantly thicker, significantly extended glandular fossa, dilatation of the duct, showing the majority of mucus secreting cells, suggesting hypertrophy of gastritis.