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患者女,28岁。晚餐后突感下咽部刺痛,继而胸部闷痛,并向背部放射且逐渐加重,服止痛片、安定后入睡。至半夜胸、背部疼痛加剧,伴有上腹部胀闷不适,随即恶心呕吐,吐出约300ml 暗红色血液、食物和血块,1h 后再次呕吐鲜血约100ml,在剧咳和呕吐中,吐出一膜性管状物,次日上午来我院就诊。查体:神智清,BP16.6/12.7kPa,语言欠清晰,由口中脱垂出一条灰白色膜性管状物,长约27cm,宽约2.5cm,牵拉时内端与下咽部相连并疼痛。自咽部将其剪断,病理报告为炎性食管粘膜。追问病史,该患
Female patient, 28 years old. Suddenly after dinner, hypopharyngeal stinging, followed by chest pain, and back to the radiation and gradually increased, taking painkillers, stability and fall asleep. To the middle of the night chest, back pain intensified, accompanied by abdominal distension discomfort, then nausea and vomiting, spit out about 300ml dark red blood, food and blood clots, vomit blood again after 1h about 100ml, cough and vomiting in the discharge of a film Tube, the next morning to our hospital. Examination: Shenzhi Qing, BP16.6 / 12.7kPa, the language is not clear, from the mouth prolapse of a gray film tube, about 27cm, width of 2.5cm, pulling the inner end and hypopharynx connected and pain . Since the pharynx cut it, the pathology reported as inflammatory esophageal mucosa. Asked history, the suffering