病例摘要 患者,男,55岁,已婚,干部,6年前出现持续性上腹部疼痛,返酸,有难以忍受的空腹及夜间痛,伴恶心、吐大量的胃内容物,腹泻每日水样便近20次,因严重脱水休克就诊。经胃镜诊断为幽门管溃疡及十二指肠球部溃疡,十二指肠炎。经3年反复多次住院,一般内科制酸剂及抗胆碱药治疗无效,但服H_2受体拮抗剂症状稍缓解。3年前再次复发伴幽门梗阻入院,经胃肠减压梗阻不能缓解,转外科行毕罗Ⅱ氏胃次全切除术。术后半年又出现上 Case Summary Patient, male, 55 years old, married, cadre, persistent upper abdominal pain 6 years ago with acid reflux, unbearable fasting and nocturnal pain, nausea, vomiting large amount of stomach contents, diarrhea daily water Like nearly 20 times, due to severe dehydration shock treatment. Gastroscopy diagnosed as pyloric ulcer and duodenal ulcer, duodenal inflammation. After 3 years repeated hospitalization, the general internal medicine antacid and anticholinergic treatment is invalid, but the symptoms of H_2 receptor antagonist slightly relieved. Recurrence 3 years ago with recurrent pyloric obstruction hospitalized by decompression of gastrointestinal obstruction can not be relieved, turn the surgical line Biluo Ⅱ stomach subtotal resection. After six months appeared again