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患者男,65岁,农民。有胃病史10余年,经常上腹部隐痛,一直按胃炎治疗。近3个月来胃痛加重.无规律性,食欲下降、消瘦。患者长期生活在血吸虫病流行区,曾患过血吸虫病并接受过治疗。体检:发育营养中等,皮肤巩膜未见黄染,锁骨上及全身浅表淋巴结未触及,心肺正常,肝脾未及,腹部未扪及肿块。胃镜检查报告:胃、贲门癌。在硬膜外麻醉下行剖腹探查,术中见胃小弯巨大溃疡,遂行全胃切除术。病理检查:见胃小弯侧巨大溃疡型肿块12×8cm,溃
Male patient, 65 years old, farmer. A history of stomach problems for more than 10 years, often abdominal pain, has been treated by gastritis. In the past 3 months, stomach pain has worsened. There is no regularity, loss of appetite and weight loss. The patient lived in the endemic area of schistosomiasis for a long time, suffered from schistosomiasis and received treatment. Physical examination: moderate developmental nutrition, no yellow stain on the skin sclera, untouched superficial lymph nodes on the supraclavicular region, general heart and lungs, no liver and spleen, no abdominal hernia or mass. Gastroscopy report: stomach, cardiac cancer. Under the epidural anesthesia, laparotomy was performed. During the operation, a large gastric ulcer was observed and a total gastrectomy was performed. Pathological examination: See the small ulcer side of the gastric ulcer mass 12 × 8cm, collapse