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患者,男性,71岁。因进行性吞咽困难1月余,于1988年9月1日入院。进半流饮食后亦有胸骨后阻塞感,伴嗳气。食欲减退,逐渐消瘦。体检:浅表淋巴结不肿大。心脏听诊有较频繁期前收缩,两肺(-)。肝脾未扪及。胃镜报告:距门齿26cm以下食道环形狭窄,中央见一菜花样肿块向近端食道腔突出,活检质脆,胃镜先端不能通过狭窄处。血常规:血红蛋白10g％,白细胞7600/mm~3。中性79％,淋巴20％。肝功能正常。
Patient, male, 71 years old. I was admitted to hospital on September 1, 1988 due to progressive dysphagia for more than one month. After entering the semi-stream diet, there was also a feeling of post-sternal blockage, accompanied by hernia. Loss of appetite and gradual weight loss. Physical examination: Superficial lymph nodes are not swollen. Cardiac auscultation has more frequent pre-systole and two lungs (-). Liver and spleen were not affected. Gastroscopy report: Esophageal annular stenosis is less than 26 cm from the incisors, and a cauliflower mass protrudes from the center to the proximal esophageal cavity. The biopsy is brittle and the tip of the gastroscope cannot pass through the stenosis. Blood routine: Hemoglobin 10g%, WBC 7600/mm~3. Neutral 79%, Lymph 20%. Liver function is normal.