患男,14岁。因上腹胀痛40d,伴呕吐半月,加重1周入院。既往体健,无眼病史。查体:T、P 均正常。精神欠佳,消瘦脱水貌,视力佳,心、肺(-),腹部稍膨隆,无肠型及蠕动波,剑下有压痛,未及包块,肝、脾(-),叩诊胃区有振水音,肠鸣音正常。化验:血、尿、粪正常。胃镜诊断:①返流性食道炎;②胃液潴留排 Male, 14 years old. Due to abdominal pain 40d, with vomiting half months, increased 1 week admission. Past physical health, no history of eye disease. Physical examination: T, P are normal. Poor soreness, weight loss and dehydration appearance, good eyesight, heart, lung (-), slightly bulging abdomen, no bowel type and peristalsis, tenderness under the sword without mass, liver and spleen Vibration sound, bowel sounds normal. Laboratory: blood, urine, normal feces. Gastroscopy diagnosis: ① reflux esophagitis; ② gastric juice retention row