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1病例介绍患者,女42岁,因反复吞咽困难伴间断性呕吐34年,加重4个月,于2009年12月来我科就诊。患者8岁时出现进食生冷食物后吞咽困难、梗咽,偶尔出现呕吐,未予检查治疗。12岁时上述症状发作次数增加,去当地医院就诊,经消化道钡透检查后诊断为贲门失弛缓症,由于年龄较小,未给予特殊治疗,仅让患者避免生冷食物。期间症状反复发作,无明显规律性。近4个月,患者吞咽困难症状加重,伴每日至少一次呕吐,来我院行胃镜检查。胃镜下见:食管黏膜粗糙,中度扩张,
1 case description The patient, 42 years old, due to repeated dysphagia with intermittent vomiting for 34 years, increased 4 months, in December 2009 to our department. Patients at 8 years of age had difficulty swallowing after eating cold food, had throat swallows, occasionally vomiting, and were not treated. At 12 years of age, the number of episodes increased, visited a local hospital, and was diagnosed with achalasia after barium dialysis. Due to the small age, no special treatment was given and only patients were prevented from having cold food. During the recurrent symptoms, no obvious regularity. Nearly 4 months, patients with dysphagia symptoms worse, with at least once daily vomiting, to our hospital gastroscopy. Gastroscopy see: esophageal mucosa rough, moderate expansion,