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例1,女,60岁.主因进食后胸骨后堵闷感1个月于1980年5月4日入院.既往高血压病史9年.查:Bp21.3/14.7kPa,食管钡餐造影示:食管下段贲门上方有一长约6cm~7cm之圆弧形充盈缺损,粘膜光整,透视下钡剂通过顺利,“肿物”对侧壁运动良好.硬质食管镜检查:距门齿32cm之左侧壁可见“肿物”向腔内突出,约5cm×4cm×1.5cm,粘膜光整,略苍白,对侧壁柔软.诊断为食管平滑肌瘤.术中探查:食管下段未发现肿瘤,降主动脉于第8胸椎平面自左后方向右挤压食管.复习胸片发现降主动脉纡曲压挤食管.术后随访10年,症状无加重.例2,女,65岁.主因进食梗噎感半个月于1985年11月7日入院.外院食管钡餐造影发现食管下段
Case 1, female, aged 60. Mainly due to post-sternal block sense of stuffiness 1 month in May 4, 1980 admitted to the hospital with a history of previous hypertension for 9 years.Check: Bp21.3 / 14.7kPa, esophageal barium meal angiography showed: esophageal Above the cardia there is a length of about 6cm ~ 7cm arc-shaped filling defects, mucosal smoothing, barium through the smooth under the “mass” on the sidewall movement well. Hard esophagoscopy: 32cm from the incisors on the left side wall Visible “tumor” to the cavity prominent, about 5cm × 4cm × 1.5cm, mucosal smoothing, slightly pale, the soft side of the wall. Diagnosis of esophageal leiomyoma. Intraoperative exploration: undetectable tumor found in the lower esophagus, descending aorta On the 8 th thoracic plane, the esophagus was squeezed from the left posterior to the right. Review the chest radiograph and find the descending aorta to squeeze the esophagus.After 10 years of follow-up, the symptoms did not aggravate.Example 2, female, 65 years old, Half a month in November 7, 1985. Outside the hospital esophageal barium meal angiography found lower esophagus