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胃神经鞘瘤临床上较少见,一般需经手术及病理学检查方能确诊,故易误诊或漏诊。自1978年6月至1986年6月本院收治二例。例1 女性,45岁。因持续左上腹隐痛8月余,反复呕血3次,于1985年11月18日入院。8个月前无明显诱因突然呕血200ml,色鲜,混有血块,无食物残渣,经治疗后血止。此后常感左上腹隐痛,与饮食无关。以后又呕血2次,每次约20ml。于第3次出血后15天作胃镜检查,发现胃窦后壁有一长圆
Gastric schwannoma is rare in clinical practice. It usually requires surgery and pathological examination to be diagnosed. It is easy to misdiagnose or missed diagnosis. From June 1978 to June 1986, two cases were treated in our hospital. Example 1 Female, 45 years old. Sustained left upper abdomen pain for more than 8 months, repeated hematemesis 3 times, admitted to hospital on November 18, 1985. Eight months ago, there was no obvious cause of sudden vomiting of blood 200ml, fresh color, mixed with blood clots, no food residue, blood stopped after treatment. Since then, he often feels pain in the left upper quadrant and has nothing to do with the diet. He also vomited blood 2 times, about 20ml each time. Gastroscopy was performed 15 days after the third hemorrhage and it was found that there was an oblong circle on the posterior wall of the gastric antrum.