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患者,男,63岁,间歇性胃痛,返酸5年。GI:十二指肠球部溃疡。服抗酸解痉药症状有所缓解,近7月来上腹部疼痛加重,为持续性隐痛、乏力、纳差。3个月来进食后呕吐,同时左上腹部有一包块。大便匿血持续性阳性,身体明显消瘦,GI:提示胃体小弯侧溃疡型癌已累及胃角。于1980年10月21日入院手术治疗。体查:慢性消耗病容,消瘦,全身浅表淋巴结无肿大,心肺未见异常,腹软,左上腹可触及5×5cm大小包块、质硬、活动。化验检查:Hb14g,Wbc7900,N83％,L17％。大便匿血阳性。血清粘蛋白14单位(阴性)。心电图正常。
Patient, male, 63 years old, intermittent stomach pain, acid reflux for 5 years. GI: Duodenal ulcer. The symptoms of taking anti-acid and anti-convulsant drugs have eased, and the pain in the upper abdomen has worsened in the past July. It is persistent persistent pain, weakness and anorexia. After 3 months of eating, she vomited and there was a mass in the left upper abdomen. Stool continuation of positive blood, the body was significantly thin, GI: suggest that the small curvature of the stomach ulcer type cancer has been involved in the angle of the stomach. He was admitted to hospital on October 21, 1980. Physical examination: chronic depletion of disease, weight loss, no enlargement of superficial lymph nodes, no abnormalities of heart and lung, abdominal soft, left upper abdomen can reach 5×5cm mass, mass, and activity. Laboratory tests: Hb14g, Wbc7900, N83%, L17%. Stool hide positive. Serum mucin 14 units (negative). ECG is normal.