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我院自1981年至1984年采取国产纤维胃镜检查了4557人次。共检出胃癌538例,占受检人次的11.8%,其中贲门癌143例,占胃癌的26.6%,并对其有关临床症状和胃镜检查的结果进行简要讨论。(一)一般资料1.性别与年龄:143例贲门癌中,男123例,女20例,男女之比为6.12:1。年龄30～40岁3例,占2.1%,40～50岁33例,占23.1%,50～60岁65例,占45.5%,61～70岁35例,占24.4%,71～75岁7例,占4.8%。2.主要症状与体征:食欲减退者79例,占55.2%,胸骨下缘及心窝部隐痛72例,占50.3%,打呃55例,占24.4%;吞咽困难68例,占46.8%;消瘦30例,占20.9%;呕血8例,占5.5%;黑便27例,占18.8%;心窝部压痛27例,占18.8%。3.X 线钡剂检查:在接受胃镜检查前近
In our hospital from 1981 to 1984, 4557 people were examined by domestic gastroscopy. A total of 538 cases of gastric cancer were detected, accounting for 11.8% of the examined patients. Among them, 143 cases of cardiac cancer accounted for 26.6% of gastric cancer, and their clinical symptoms and gastroscopy results were briefly discussed. (1) General information 1. Sex and age: In 143 cases of cardiac cancer, 123 were males and 20 were females, and the ratio between males and females was 6.12:1. 3 cases aged 30-40 years old, accounting for 2.1%, 33 cases 40-50 years old, accounting for 23.1%, 65 cases 50-60 years old, accounting for 45.5%, 35 cases 61-70 years old, accounting for 24.4%, 71-75 years old 7 Example, accounting for 4.8%. 2. The main symptoms and signs: 79 cases of loss of appetite, accounting for 55.2%, 72 cases of pain in the lower edge of the sternum and the heart fossa, accounting for 50.3%, 55 cases of snoring, accounting for 24.4%; 68 cases of dysphagia, accounting for 46.8%; In 30 cases, accounting for 20.9%; vomiting in 8 cases, accounting for 5.5%; melena in 27 cases, accounting for 18.8%; heart and socket Ministry of tenderness in 27 cases, accounting for 18.8%. 3. X-ray tincture examination: before receiving gastroscopy