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患者,男,79岁。因突发性吞咽困难20天,尿潴留10天于84年7月24日入院。20天前,患者于生气后,进食时突然发呛,继而吞咽困难,急剧加重。在某地区医院及部队医院行食道钡餐透视、摄片及纤维食道镜检查,均排出食道器质性病变。诊断:食道痉挛。给予安定,苯巴比妥,阿托品等治疗2日无效,并出现尿潴留,置保留尿管。入院前6天,安胃管鼻饲失败,而诱发频频呃逆,流涎不止。呃逆每天持续8—20多小时不等。先后使用青、链霉素等治疗无效。查体::T37.9℃,p86次,R18次,B.p164/84。呈急性病容,频频呃逆,流涎,
Patient, male, 79 years old. 20 days due to sudden dysphagia, urinary retention 10 days in July 24, 84 admission. 20 days ago, the patient was angry, suddenly choking when eating, then swallowing difficulties, a sharp increase. In some areas, hospitals and military hospitals, esophageal barium meal fluoroscopy, radiography and fiber esophagoscopy, are discharged organic disease of the esophagus. Diagnosis: esophageal spasm. Give stability, phenobarbital, atropine treatment on the 2nd invalid, and there urinary retention, set retention catheter. 6 days before admission, safety tube nasal feeding failed, and induced frequent hiccups, more than salivation. Hiccups continue for more than 8-20 hours a day. Has used green, streptomycin and other treatment is invalid. Physical examination :: T37.9 ℃, p86 times, R18 times, B.p164 / 84. Was acute disease, frequent hiccups, salivation,