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患者女,48岁。以上腹部饱胀不适及嗳气返酸10年,近日烧心、返酸加重并消瘦而就诊。查体贫血貌、消瘦、剑突下压痛,余无异常。X线钡透提示双胃窦双幽门及胃窦部多处小龛影。胃镜检查可见胃体粘膜灰白,皱襞变浅变细,前壁大弯侧分别有0.5cm×0.5cm及0.2cm×0.2cm大小不等憩室30多个;胃体中部后壁有0.4×0.4cm×0.4cm亚蒂状息肉4个,胃角以下有一较厚粘膜将胃窦分为双腔,分别见左侧窦腔前壁大弯侧有1圆形幽门,其前壁大弯侧有1.5cm×1.5cm×
Female patient, 48 years old. The above abdomen discomfort and belching back to acid for 10 years, recently heartburn, acid reflux and weight loss and treatment. Physical examination anemia, weight loss, under the xiphoid tenderness, I no exception. X-ray barium double gastric double pyloric antrum and multiple niche shadow. Gastroscopy can be seen gastric mucosa gray, frizzled lighter and thinner, the anterior wall flexion respectively 0.5cm × 0.5cm and 0.2cm × 0.2cm sizes ranging from diverticulum more than 30; the back of the stomach with 0.4 × 0.4cm × 0.4cm 4 pediatric polyps, there is a thick mucosa below the stomach corner of the gastric cavity is divided into dual-chamber, respectively, see the left anterior wall of the left ventricle a circular pyloric side of the large curved side of the front wall 1.5 cm × 1.5 cm ×