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患者,男,48岁,农民.因畏寒、发热、全身酸痛1月余,黑便半月,疑伤寒、败血症而入院.查体:T39℃,贫血貌,皮肤粘膜无出血点,周身浅表淋巴结不肿大,胸骨无压痛,心率110次/分,肺(一),肝脾肋下未触及.化验;Hb75g/L、WBC2.7×10~9/L、Plt69×10~9/L、大便隐血++++、肥达氏反应(-)、血培养(一).胸片示两肺呈间质性炎症改变.纤维胃镜检查:胃窦部及十二指肠球部前壁、后壁及大弯侧多发性溃疡,边缘水肿,有出血灶.自胃窦部病变处取活检,病理诊断为胃腺癌.
Patient, male, 48 years old, farmer. admitted to hospital because of chills, fever, body aches for more than one month, melena half month, suspected typhoid fever, sepsis. examination: T39°C, anemic appearance, skin and mucous membrane without bleeding, superficial whole body Lymph nodes are not swollen, sternal no tenderness, heart rate 110 beats/min, lung (a), liver and spleen not touched. Laboratory tests; Hb75g/L, WBC2.7×10~9/L, Plt69×10~9/L , stool occult blood + + + +, Widal reaction (-), blood culture (a). Chest radiographs showed interstitial inflammation in both lungs. Fibro gastroscopy: gastric antrum and duodenal bulb anterior Multiple ulcers on posterior and posterior sides and large curvature, marginal edema, and hemorrhagic foci. A biopsy was taken from the lesions of the gastric antrum. The pathological diagnosis was gastric adenocarcinoma.