第29例——上腹不适、频繁呕吐和消瘦

来源 :上海第一医学院学报 | 被引量 : 0次 | 上传用户:linyibaby
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病史摘要 患者男性,28岁,理发员,未婚,上海市人,北站医院住院号9084。因上腹部胀、阵痛伴恶心呕吐一月余入院。多年来屡感中上腹不适、伴饱胀,无嗳酸及节律性疼痛,进食及服碱性药物亦无改善。二年前胃肠钡餐检查拟诊为萎缩性胃炎,治疗后缓解。以后偶有发作。入院前一月余,先感上腹部饱胀不适,后阵发性腹痛、恶心及频繁呕吐,吐出物为胃内容物,无血液。食欲明显减退,头晕疲乏,消瘦。无 Summary of medical history Male patient, 28 years old, barber, unmarried, Shanghai, North Hospital Hospital number 9084. Due to the swelling of the abdomen, pain and nausea and vomiting more than a month admitted. Repeatedly feel over the years, abdominal discomfort, with fullness, no acid and rhythmic acid, eating kimono no improvement of basic drugs. Two years ago gastrointestinal barium meal examination diagnosed as atrophic gastritis, remission after treatment. After occasional attack. More than a month before admission, the first sense of fullness on the abdomen discomfort, after paroxysmal abdominal pain, nausea and frequent vomiting, vomit for the stomach contents, no blood. Appetite decreased significantly, dizziness, fatigue, weight loss. no
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