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患者,男,65岁,退休工人。因进行性吞咽困难1年,加重1月,于1978年4月7日入院。入院时只能进流汁饮食。入院前8年来,患者反复发作上腹部疼痛,7年前曾因大呕血发生“昏迷”,经医院治疗好转,诊断为“溃疡病大出血”。查体。体温36.5℃,脉搏68次,呼吸24次,血压120/70毫米汞柱。较消瘦,左锁骨上淋巴结不肿大,心肺正常,上腹剑突下有
Patient, male, 65 years old, retired worker. Due to progressive dysphagia for one year, he was admitted to hospital on April 7, 1978, and he was admitted to hospital on April 7, 1978. You can only enter the juice diet when you are admitted to hospital. In the 8 years before admission, the patient experienced episodes of epigastric pain repeatedly. He developed coma 7 years ago due to massive vomiting. He was hospitalized for treatment and was diagnosed as having “hemorrhagic ulcers.” Physical examination. The body temperature 36.5 °C, pulse 68 times, breathing 24 times, blood pressure 120/70 mm Hg. Relatively thin, no enlargement of the left supraclavicular lymph node, normal heart and lungs, and epigastric xiphoid process