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患者女性,32岁,因上腹饱胀、嗳气伴隐痛半年余入院。初诊为“慢性胃炎”。近二月病情突发加剧,偶有呕吐咖啡色物及解黑便现象。体检:贫血消瘦,浅表淋巴结未触及,颈部及甲状腺无异常。心肺(-);腹部平软,剑突下压痛明显,未及腹块,肝脾未触及。实验室检查;Hb50g/L,RBC1.75×10~(12)/L;WBC9.0×10~9/L,N0.8,L0.2;肝肾功能正常。胸部X片未见纵隔占位;胃肠钡餐透视示:胃溃疡。于1988年7月30日于我科行电子胃镜检查,见食道及贲门粘膜充血粗糙,胃底粘膜苍白粗糙,胃体部大弯侧前后壁见大片不规则隆起及浸润病灶,表
The female patient, 32 years old, was admitted to the hospital for more than half a year because her upper abdomen was full and my hernia was accompanied by pain. The first diagnosis was “chronic gastritis.” The sudden increase in illness in the past two months, occasionally vomiting brown matter and solve the black phenomenon. Physical examination: Anemia, weight loss, no superficial lymph nodes, no abnormalities in the neck and thyroid. Cardiopulmonary (-); abdomen is soft, thoracic tenderness is obvious, not as much as the abdomen, liver and spleen is not touched. Laboratory tests; Hb50g/L, RBC1.75×10~12/L; WBC9.0×10~9/L, N0.8, L0.2; liver and kidney functions were normal. Chest X film did not see mediastinal space occupying; gastrointestinal barium meal perspective showed: gastric ulcer. On July 30, 1988, we performed electronic gastroscopy at our department. We saw that the mucosa of the esophagus and stomach was congested, the gastric mucosa was pale and rough, and the large and curved side of the stomach body had large irregular bulges and infiltrated lesions on the anterior and posterior walls.