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患者杨××,女、56岁、因间断性吞咽困难26年而于1982年10月29日入院。患者每因精神紧张或过度劳累而出现吞咽困难,于1976年经某医院吞钡透视诊断为贲门失驰缓症。入院前6个月始感进食颈部疼痛,吞咽困难呈进行性加重,食后半小时即有呕吐。入院当时仅能进流食,体重下降10Kg。体检示营养较差,消瘦,表浅淋巴结不大。胸廓呈桶状,两肺散在少量干鸣音。心界不大,心律齐,各瓣膜区无杂音。腹部柔软无压痛,肝脾不大。四肢脊柱无异常。
The patient, Yang X, female, 56 years old, was admitted to hospital on October 29, 1982 for 26 years of intermittent dysphagia. Every patient suffered dysphagia due to mental stress or overwork. She was diagnosed with achalasia by a perspective scan of a hospital in 1976. He felt pain in the neck 6 months before admission, and his dysphagia was progressively worsened. Vomiting occurred within half an hour after eating. At the time of admission, he was only able to drink liquids and lost 10kg in weight. Physical examination showed poor nutrition, weight loss, and superficial lymph nodes. The thorax was barrel-shaped, and a small amount of dry sound was scattered in both lungs. The heart is not big, heart rate is equal, and there is no noise in each valve area. The abdomen is soft and tender, and the liver and spleen are not large. There are no abnormalities in the spine of the limbs.