患者张某,男,66岁,广西灵川县人。1958年在当地铅锌矿当清渣工人,1959年转为爆破工。1960年冬才离矿返家做裁缝,直至发病前。患者自述既往身体壮实,很少生病,嗜好烟酒,没有服过任何土方土药的历史。1988年11月上旬,患者感觉肠胃不适,继而下腹部疼痛。到下旬,下腹疼痛加剧,自觉头晕、疲乏无 Patient Zhang, male, 66 years old, Guangxi Lingchuan people. In 1958 in the local lead-zinc mine as slag workers, in 1959 converted to blasting workers. Winter 1960 before leaving home to do tailor, until the onset. Patient read the physical past strong, rarely sick, addicted to tobacco and alcohol, did not serve any history of earth medicine. In early November 1988, the patient felt stomach discomfort, followed by lower abdominal pain. To late, lower abdominal pain intensified, consciously dizzy, tired without