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男性,62岁,农民。因反酸嗳气10年,进食后饱胀、呕吐2月,于1987年10月入我院外科(住院号5254)。10年前始反酸嗳气,时上腹隐痛,未作特殊检查及治疗。近二月进食后饱胀并呕吐,进行性加重。呕吐物为胃内容物。体检:上腹膨隆,无压痛。钡餐检查仅见幽门管短缩,经36小时仍胃内容物大量潴留,无法观察。报告:胃幽门不全梗阻并胃扩张。纤维胃镜检查:禁食40小时仍大量食物残渣潴留,无法观察。剖腹探查见胃高度扩张;切开放出食物残渣约2000g。病理检查:次全切胃:高度扩张;胃壁肥厚(0.6～1cm)。幽门区小弯侧有一耳状膨出区。剪开见幽门小弯侧并窦区有一3.5×4.5cm之憩室。其内面
Male, 62 years old, farmer. After 10 years of anabolic sensation, she became full and vomited after eating for 2 months. She was admitted to our hospital in October 1987 (Hospital No. 5254). 10 years ago began to turn acid qi, when the abdominal pain, no special examination and treatment. In February, she became full and vomited after eating, and she became progressively worse. Vomit is stomach contents. Physical examination: abdominal distension, no tenderness. Barium meal examination only see the pyloric shortening, after 36 hours, a large number of gastric contents remain, can not be observed. Report: Incomplete pyloric obstruction and gastric dilatation. Fiber Gastroscopy: After 40 hours of fasting, a large amount of food residue remained and could not be observed. The exploratory laparotomy revealed a high degree of gastric enlargement; the opening of the food residue was approximately 2000 g. Pathological examination: subtotal excision of the stomach: a high degree of expansion; stomach wall hypertrophy (0.6 ~ 1cm). There is an ear-like bulging area on the small curve side of the pylorus. Cut open the pyloric side of the curve and have a 3.5 x 4.5 cm diverticulum. Inside