患男,37岁,因进行性吞咽困难、胸骨后疼痛1月余,于1991年2月28日住本院外科。患者入院前1月余始感吞咽时有阻挡感,但不重,未曾在意,随后阻挡感明显,尤以吃馒头时为著,近10d来,上述症状加重,只能吃流食且感胸骨后疼痛,呈针刺样,不发烧、不咳嗽。 体检 T37.7℃,P108次/min,R23次/min,BP15.6/10.6kPa。发育一般,营养不良,贫血貌,表情痛苦,巩膜、皮肤无黄染,全身浅在淋巴结未扪及。纤维镜检报告:距门齿34cm处,食管前壁有一长约4cm呈 Male, 37 years old, due to progressive dysphagia, suprasternal pain more than 1 month, February 28, 1991 to live in hospital surgery. Patients admitted to the beginning of January when the sense of swallowing a sense of block, but not heavy, did not care, followed by a clear sense of obstruction, especially when eating bread, the past 10d, the above symptoms worse, only to eat fluid and chest feeling after Pain, acupuncture-like, no fever, no cough. Physical examination T37.7 ℃, P108 times / min, R23 times / min, BP15.6 / 10.6kPa. General development, malnutrition, anemia appearance, facial expression pain, sclera, skin yellow dye, the body is not palpable in the lymph nodes. Fiber microscopy report: 34cm away from incisors, esophageal anterior wall has a length of about 4cm was