病例男,70岁。因上腹胀痛1个月于96年4月5日入院。既往无疾患。入院查体:体温36℃,脉搏80次/分,呼吸20次/分,血压18/12kPa。腹部稍膨隆,无胃肠形及蠕动波,心窝部压痛(+),未扪及肿物,肝脾未触及,腹水征阴性。化验血、尿、便常规正常。胃镜:胃体小弯侧可见一直径2.5cm浅表溃疡。病理诊断:胃腺癌。病人于4月10日在全麻下行剖腹探查,术中见癌肿未侵及胃体部浆膜,无腹内脏器转移,行胃癌根治术(R_1),胃切除远侧2/3,毕Ⅱ式胃空肠吻合+Broun氏吻合。术后第三天排气,开始进全流食,餐后腹胀, Male case, 70 years old. She was admitted to hospital on April 5, 1996 because of abdominal pain for 1 month. No illness in the past. Admission examination: body temperature 36 °C, pulse 80 beats / min, breathing 20 beats / min, blood pressure 18/12kPa. The abdomen was slightly bulging, without gastrointestinal shape and peristaltic waves, tenderness (+) in the heart socket, no palpable mass, no hepatosplenic spleen, and ascites sign negative. Blood tests, urine, and routines are normal. Gastroscope: A 2.5cm superficial ulcer with a diameter of 2.5cm can be seen on the small curve side of the body. Pathological diagnosis: gastric adenocarcinoma. The patient underwent laparotomy under general anesthesia on April 10, during which he saw that the cancer had not invaded the gastric body’s serosa, had no intra-abdominal organ metastasis, underwent radical gastrectomy (R_1), and had distal gastrectomy 2/3. Type II gastrojejunostomy + Broun’s anastomosis. Exhaust on the third day after surgery, start to flow into the full flow, abdominal distension after meals,