例1 男性,61岁,陕西省三原县人。患者以吞咽不利、左上腹不适、心悸伴乏力2月,于1970年5月9日住院。查体:慢性病容,中度贫血貌,消瘦,锁骨上及腋下淋巴结不大;胸廓对称,心肺正常;左上腹压痛(+),肝脾肋下未触及;双下肢浮肿(-)。食道钡剂摄影诊断:中段食道癌。实验室检查:Hb90g/L,RBC3×10~(12)/L,WBC45×10~9/L;食管脱落细胞学检查诊断为食管腺癌。因患者拒绝治疗,于1970年8月死亡。 Example 1 Male, 61 years old, from Sanyuan County, Shaanxi Province. The patient was admitted to hospital on May 9, 1970 with dysphagia, left upper quadrant discomfort, and palpitation with fatigue. Physical examination: chronic disease, moderate anemia appearance, weight loss, supraclavicular and axillary lymph nodes; thoracic symmetry, normal heart and lung; left upper quadrant tenderness (+), liver and spleen not touched under the ribs; double lower limb edema (-). Esophageal liniment photography diagnosis: middle esophagus cancer. Laboratory tests: Hb90g/L, RBC3×10~(12)/L, WBC45×10~9/L; esophageal exfoliative cytology was diagnosed as esophageal adenocarcinoma. He died in August 1970 because of the patient’s refusal to treat.