患者 女,13岁,间断上腹部疼痛两年余,食欲差,消瘦,伴恶心、呕吐,偶有反酸。近20天来上腹痛再现,饭后重,呕吐,吐后感舒适。查体:慢性病容,神志清。心肺未见异常。腹软,剑突下轻压痛,无反跳痛及肌紧张,未及肿块,肝、脾、胆囊未触及。白细胞9.1×10~9/L,血红蛋白110g/L,血小板98×10~9/L。心电图:正常。X线上消化道钡餐造影:食道通过顺利,胃粘膜皱襞光滑柔软,窦部粘膜欠规整,胃幽门 Female patient, 13 years old, intermittent upper abdominal pain more than two years, poor appetite, weight loss, with nausea, vomiting, occasionally acid reflux. Nearly 20 days to reproduce on abdominal pain, heavy after meals, vomiting, vomiting sense of comfort. Physical examination: chronic disease, conscious mind. Heart and lung no abnormalities. Abdominal soft, xiphoid tenderness, no rebound tenderness and muscle tension, and mass, liver, spleen, gallbladder not touched. WBC 9.1 × 10 ~ 9 / L, hemoglobin 110g / L, platelet 98 × 10 ~ 9 / L. ECG: normal. X-ray on the digestive tract barium meal imaging: smooth esophagus, smooth and soft gastric mucosa folds, sinus mucosa less regular, stomach pylorus