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病人,女,36岁。因进食后发噎,胸骨后疼痛1月余,于1986年7月就诊。既往史:1980年曾患左侧结核性胸膜炎、腹膜炎。查体;浅表淋巴结无异常肿大,心、肺、腹无异常。血象及肝功能检查正常。07试验:1:2000强阳性反应。胸片显示:左侧肋膈角变钝、双肺未见结核病灶,诊断为左侧陈旧性胸膜炎。腹部B超:肝、胆、脾及腹腔均未见异常。食道钡餐:造影剂于食道中段主动脉弓下方部位通过受阻。其上端食管轻度扩张,管腔前壁不甚光滑,于管腔收缩时更为明显,造影剂显有分流现象。诊断为食管(中段)炎,不除外占位性病变。食管镜检查:纤镜插入25cm 时,食道右前壁可见粘膜隆起,但表面光滑,无溃疡及糜烂,食道扩张好,中段粘膜略显充血。镜检诊断:食道炎、
Patient, female, 36 years old. After eating due to stomachache, sternum pain more than 1 month, in July 1986 treatment. Past history: 1980 had suffered from tuberculous pleurisy on the left, peritonitis. Physical examination; superficial lymph nodes without abnormal swelling, heart, lung, abdomen without exception. Blood and liver function tests were normal. 07 test: 1: 2000 strong positive reaction. Chest X-ray showed: the left edge of the costachpharyngeal dullness, no pulmonary tuberculosis, diagnosis of left-sided old pleurisy. Abdomen B ultrasound: no abnormalities in liver, gall bladder, spleen and abdominal cavity. Barium meal of the esophagus: Contrast in the esophageal aortic arch below the site by obstruction. The upper esophageal mild dilatation, lumen anterior wall is not smooth, more obvious when the lumen constriction, contrast agent was shunt phenomenon. Diagnosis of esophageal (middle) inflammation, not excluding occupying lesions. Esophagoscopy: fibroscope inserted 25cm, the esophagus can be seen on the right anterior mucosal uplift, but the surface smooth, non-ulcer and erosion, esophageal dilatation, mucosal slightly hyperemic middle. Microscopic examination: esophagitis,