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我院自1991年1月至1996年1月共作胃镜检查26114例,发现十二指肠球部溃疡5670例,占21.7％,复合性溃疡645例,占2.5％,其中十二指肠球部溃疡伴发胃癌40例,占同期十二指肠球部溃疡的0.71％,占同期复合性溃疡6.2％,均经外科手术及活检组织病理学证实。1 临床资料1.1 一般资料:40例胃癌中,年龄最大82岁,最小30岁,年龄分布≤30岁2例,31～40岁5例,41～50岁11例,51～60岁17例,>60岁5例,平均年龄59岁。其中男性30例,女性10例,男女之比3:1。临床表现为上腹部胀痛或不规则隐痛、纳差、乏力、消瘦及部分典型饥饿痛、夜间痛、大便隐血试验持续阳性等。1例
Our hospital from January 1991 to January 1996 a total of 26,114 gastroscopy examination showed 5670 cases of duodenal ulcer, accounting for 21.7%, 645 cases of complex ulcers, accounting for 2.5%, of which duodenal bulb 40 cases of ulcer accompanied by gastric cancer, accounting for 0.71% of duodenal ulcer in the same period, accounting for 6.2% of concurrent ulcer, were confirmed by surgical and biopsy histopathology. 1 Clinical data 1.1 General information: 40 cases of gastric cancer, the oldest 82 years old, minimum 30 years old, age distribution ≤ 30 years in 2 cases, 31 to 40 years in 5 cases, 41 to 50 years in 11 cases, 51 to 60 years in 17 cases, > 60 years old in 5 cases, the average age of 59 years old. There were 30 males and 10 females with a ratio of 3: 1. Clinical manifestations of upper abdominal pain or irregular pain, anorexia, fatigue, weight loss and some typical hunger pain, night pain, stool occult blood test continued positive. 1 case