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患者,男,农民,四十七岁,(住院号22523)。间歇性胸骨后疼痛不适二十余天,于一九八○年十二月十七日入院。疼痛与饮食无明显关系,进食后无吞咽困难及呕吐,大便正常。既往否认有“胃病史”,三年前曾行“阑尾切除术”。体检:体温36.7℃。脉博82次/分,呼吸21次/分,血压98/70,消瘦,颈部及锁骨上淋巴结不肿大,气管居中。胸部无畸形,心肺无异常。腹壁软,肝、脾肋下未触及,未扪及肿块,腹水征(-),右下腹见切口疤痕。食管钡餐透视及摄片,示食管中段约三厘米管腔狭窄,粘膜中断破坏,管壁
Patient, male, farmer, 47 years old (Hospital No. 22523). Intermittent post-sternal pain was unwell for more than 20 days and was admitted to hospital on December 17, 1980. There was no obvious relationship between pain and diet. No dysphagia and vomiting occurred after eating and the stool was normal. In the past, he denied having a “stomach history” and had undergone “appendectomy” three years ago. Physical examination: body temperature 36.7°C. Pulses 82 beats/min, breathing 21/min, blood pressure 98/70, weight loss, no enlargement of the neck and supraclavicular lymph nodes, and central trachea. There was no abnormality in the chest and no abnormalities in the heart and lungs. Soft abdominal wall, liver, spleen did not touch the ribs, no palpable mass, ascites sign (-), see the right lower abdomen incision scar. Esophageal barium meal perspective and radiography, showing about three centimeters of narrow esophageal stenosis, mucosal disruption, tube wall