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尹×,男,69岁,干部,住院号1579。因反复咳嗽、咳痰6年余,症状加重伴气喘一个月,于1991年1月14日入院。有冠心病史三年及陈旧性肺结核,既往无胃肠疾病史。入院查体:T36℃、P68次/分、R20次/分、Bp21/12kPa(160/90mmHg),桶状胸、两肺可闻及干、湿罗音,腹软、无压痛,未触及包块。入院后按慢支、肺气肿、冠心病予以治疗。从1991年4月24日起诉胃纳差,上腹胀不适,间有反酸、嗳气,无明显腹痛、呕血及黑便。查体无特殊发现。分别于同年5月15日及11月19日行胃电图检查,提示为慢性浅表性胃炎慢性萎缩性胃炎〔按1987年5月7日全国胃电图学术会议通过的胃电图参考诊断的标准(合肥)〕。经治疗症状却日渐加重,于1991年12月31日作纤维胃镜检查发现胃体—胃窦部有一大溃疡(2.5×3
Yin ×, male, 69 years old, cadre, hospital number 1579. Due to repeated coughing, sputum more than 6 years, the symptoms aggravated with asthma for a month, January 14, 1991 admission. Coronary heart disease history of three years and old tuberculosis, past history of no gastrointestinal disease. Admission examination: T36 ℃, P68 beats / min, R20 beats / min, Bp21 / 12kPa (160 / 90mmHg), barrel chest, lungs can be heard and dry, wet rales, abdominal soft, no tenderness, Piece. Admission by chronic bronchitis, emphysema, coronary heart disease be treated. From April 24, 1991 prosecution of gastric anorexia, abdominal distension uncomfortable, between acid reflux, belching, no obvious abdominal pain, hematemesis and melena. Physical examination found no special. Respectively in the same year on May 15 and November 19 line electrogastrogram, suggesting that chronic superficial gastritis chronic atrophic gastritis 〔May 7, 1987 National Gastric Electrocardiogram Conference approved by the Electroencephalogram Reference Diagnosis Standard (Hefei)〕. After the treatment of the symptoms are getting worse, on December 31, 1991 for fiber endoscopy found gastric body - a large gastric antrum ulcer (2.5 × 3