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患者 女性,48岁,农民.因剑突下疼痛1年余,左上腹肿块逐渐增大2个月,于1996年12月21日入院.同年3月曾因剑突下疼痛,伴暖气泛酸,间发恶心呕吐在门诊就治,据胃镜及病理活检报告,诊断“胃溃疡”.给予制酸、保护胃粘膜、清除幽门螺杆菌治疗,症状得以缓解.以后经常自购胃药治疗.当年10月下旬发现左上腹有一鸽蛋大小包块,且逐日增太,上述症状亦加重,排黑色稀便,1次/日,每次约50ml左右,头昏、乏力、纳差、逐渐消瘦.门诊胃镜报告“胃癌”而收入院.
The patient was female, 48 years old, farmer. Because of the pain under the xiphoid process for more than one year, the left upper abdominal mass gradually increased for 2 months and was admitted to hospital on December 21, 1996. In the same year March, she had pain due to xiphoid process, with pantothenic acid heating. Nausea and vomiting occurred in the outpatient treatment, according to endoscopy and pathological biopsy report, diagnosis of “peptic ulcer.” Give acid, protect the gastric mucosa, clear the treatment of Helicobacter pylori, the symptoms can be relieved. Later often self-purchased stomach medication. The year 10 In late March, it was found that there was a large egg mass on the left upper abdomen, and it increased day by day too. The above symptoms were also aggravated, and the stools were black and thin, once a day, about 50 ml each time, dizziness, fatigue, anorexia, and gradual weight loss. Gastroscope reported “gastric cancer” and admitted to the hospital.