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我院从1974年——1982年6月应用GIF—D_2,GIF—K型纤维内窥镜,在受检的3200例中检出经病理确诊的贲门癌100例。初步分析具有一定特点,报告如下。临床资料一、性别及年龄:男性91例,女性9例,年龄32岁—83岁,平均57.5±8.1岁。二、职业籍贯及病程:农民74例,工人16例,其它10例。陕西籍87例,外籍长期迁驻陕西8例,其它5例。病程6个月以内占73%,一年以内占90%。三、主要症状:有下咽不适或异物感9例,胸骨后或心口部堵塞感24例。吞咽困难46例,呕血8例,黑便12例。以吞咽障碍为主共79例。其次为呕血及黑便。四、主要体征:消瘦38例,剑突下压痛19例,剑突下肿块7例。五、X 线检查:82例行上消化道钡餐造影,诊断为本病者36例占43.9%;不能确诊者
In our hospital from 1974 to June 1982, GIF-D_2 and GIF-K fiber endoscopes were used to detect 100 cases of cardiac cancers diagnosed pathologically among the 3200 cases examined. The preliminary analysis has certain characteristics. The report is as follows. Clinical data 1. Sex and age: 91 males and 9 females, aged 32-83 years, mean 57.5±8.1 years old. Second, occupational origin and disease course: 74 farmers, 16 workers, 10 other cases. There are 87 cases in Shaanxi Province. Foreigners have long moved to Shaanxi in 8 cases and the other 5 cases. 73% of patients within 6 months of the disease, and 90% within one year. Third, the main symptoms: there are 9 cases of hypopharyngeal discomfort or foreign body sensation, 24 cases of blockage of sternal back or heart and mouth. Dysphagia was found in 46 cases, vomiting in 8 cases, and melena in 12 cases. A total of 79 cases were swallowing disorders. Followed by hematemesis and melena. Fourth, the main signs: weight loss in 38 cases, 19 cases of tenderness under the xiphoid, xiphoid mass in 7 cases. Five, X-ray examination: 82 cases of upper gastrointestinal barium meal imaging, diagnosed as the disease in 36 cases accounted for 43.9%; can not be diagnosed