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患者女,59岁。因“乏力、食欲不振3个月余,便血10余天”入院。体检:心肺无异常;上腹部轻压痛,无反跳痛。实验室检查:恶性肿瘤特异生长因子(TSGF)79 U/ml(正常≤64 U/ml),RBC 2.02×1012/L,Hb 63g/L,尿WBC 28.4/ul,粪便隐血试验(-)。超声检查:胃底部胃壁不规则增厚,最厚处约2.2 cm,并凸向胃腔,局部蠕动消失,内部为中等稍低回声,分布不均匀。彩色多普勒:增厚胃壁上可见稍丰
Female patient, 59 years old. Because “fatigue, loss of appetite more than 3 months, more than 10 days of hematochezia ” admission. Physical examination: no abnormal heart and lungs; mild tenderness on the abdomen, no rebound tenderness. Laboratory tests: Tumor necrosis factor (TSGF) 79 U / ml (normal ≤ 64 U / ml), RBC 2.02 × 1012 / L, Hb 63g / L, urine WBC 28.4 / ul, fecal occult blood test (-). Ultrasonography: gastric thickening of the stomach wall irregularly, the thickest about 2.2 cm, and convex to the gastric cavity, local peristalsis disappeared, the internal medium slightly hypoechoic, uneven distribution. Color Doppler: thickening of the stomach visible slightly Feng