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1临床资料患者,女,55岁。因“反复上腹部疼痛8年余”于2013年8月14日入院。患者自诉8年前无明显诱因出现上腹部疼痛,呈间歇性隐痛,每次持续约5 min,每日发作2~3次,劳累和饥饿时易发作,休息及饱餐后可缓解,2013年8月12日在我院消化内科行胃镜检查提示:1.胃体多发息肉;2.慢性糜烂性胃窦炎,建议住院行息肉摘除术。门诊拟“胃息肉”收住我科。既往史:2年前出现双手晨僵现象未曾诊治。否认药物及食物过敏史。体格检查:体温36.8℃,脉搏78次/min,呼吸20次/min,血压122/70 mmHg(1 mmHg=0.133kPa)。神志清楚,皮肤巩膜无黄染,颈静脉怒张。心肺无明显异常,腹平软,剑突下轻压痛,无反跳痛,腹部未触及包块,肝脾肋下未触及,肝区叩痛。肠鸣音正常。入院检查:大便
1 clinical data patients, female, 55 years old. Because “repeated upper abdominal pain more than 8 years ” was admitted on August 14, 2013. Patient complained of upper abdominal pain eight years ago without any obvious cause of pain, intermittent pain, each lasting about 5 min, 2 to 3 times a day attack, fatigue and hunger prone to attack, rest and after eating can be eased, 8 On the 12th day of our hospital digestive endoscopy gastroscopy prompted: 1. Gastric polyps; 2. Chronic erosion of antral gastritis, polyp excision recommended hospitalization. Outpatient to be simulated “stomach polyps ” to receive my department. Past history: Two years ago morning stiffness phenomenon did not diagnosed. Denied the history of drug and food allergies. Physical examination: body temperature 36.8 ℃, pulse 78 beats / min, breathing 20 beats / min, blood pressure 122/70 mmHg (1 mmHg = 0.133kPa). Consciousness, skin sclera no yellow dye, jugular vein engorgement. No significant abnormal heart and lung, abdominal soft, under the xiphoid tenderness, no rebound tenderness, abdomen did not touch the mass, the liver and spleen ribs did not touch, liver taping. Bowel sounds normal. Admission examination: stool