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例1;女性,73岁,农民。于1983年10月28日因吞咽困难一周,在当地卫生院作食管钡透见钡剂完全不能通过食管下段,拟诊为“食管癌”转至我院。体检:全身浅表淋巴结未触及。心肺无异常。腹软,肝脾未触及。X线钡透所见同前。X线摄片:食管下端梗阻,性质不能明确(见图1)。胃镜:见全食道粘膜充血、水肿、糜烂,中下段见2.5×3.0cm大小不规则块状物,随着不断注气及用活检钳轻轻向前推动,此物缓缓向下移动,最后完全进入胃腔。取其部分组织做病理组织学检查,报告为猪肉组织。再吞钡摄片见食道通畅。
Example 1; female, 73 years old, farmer. On October 28, 1983 due to dysphagia for a week, in the local hospital for barium see esophageal barium completely unable to pass the lower esophagus, to be diagnosed as “esophageal cancer” to our hospital. Physical examination: systemic superficial lymph nodes not touched. No abnormal heart and lung. Abdomen soft, liver and spleen not touched. X-ray barium seen with the previous. X-ray: lower esophageal obstruction, the nature can not be clear (see Figure 1). Gastroscopy: See the whole esophageal mucosa congestion, edema, erosion, the middle and lower section to see irregular 2.5 × 3.0cm block size, with continuous gas injection and biopsy forcefully push the forward, the object slowly move down, and finally Fully into the stomach. Take part of the organization to do histopathological examination, reported as pork tissue. See the esophagus and then swallow barophage photos.