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患者女,28岁,因黑便1周,伴头晕、乏力5d来本院就诊。查体:BP11/7kPa,身体消瘦,重度贫血貌,未见肝掌及蜘蛛痣,心、肺无异常,腹部平软,无压痛及包块,肝脾肋下未触及,腹水征(-)。既往否认有消化道症状。实验室检查:Hb60g/L,大便潜血(++),血浆总蛋白50g/L,白蛋白34g/L,肾功能正常。腹部B超未见异常。上消化道钡餐透视示:胃底局限性粘膜紊乱且似有块影。胃镜示:胃底可见粘膜皱襞,并可见息肉样隆起的粘膜,表面光滑可见有糜烂出血。活检显示:粘膜增厚,胃小凹增生而腺体萎缩,腺管扩张。提示:巨大胃粘膜肥厚症。
Female patient, 28 years old, because of black one week, with dizziness, fatigue 5d to our hospital. Physical examination: BP11 / 7kPa, body weight loss, severe anemia appearance, no liver palms and spider nevus, heart, lung no abnormalities, abdominal soft, no tenderness and mass, . Past deny gastrointestinal symptoms. Laboratory tests: Hb60g / L, fecal occult blood (++), plasma total protein 50g / L, albumin 34g / L, normal renal function. Abdominal B-no abnormalities seen. Upper gastrointestinal barium meal perspective: gastric confined mucosal disorders and seems to be a shadow. Gastroscopy showed: gastric mucosal folds can be seen, and visible polypoid mucosal uplift, the surface can be seen bleeding erosion or bleeding. Biopsy showed: mucosal thickening, gastric recession and gland atrophy, duct dilatation. Tip: Huge gastric mucosal hypertrophy.