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女,26岁,因二月来不规则低热,头昏,乏力而入院。体检:体温37.7℃。呈慢性贫血面容。除心尖区Ⅱ级收缩期杂音外,余无阳性所见。红细胞202万,血红蛋白5.5克。总蛋白5.3克％,白蛋白3.5克％,球蛋白1.8克％。胃液分析(组织胺试验),游离酸为0,隐血弱阳性。胃肠钡餐检查见胃大弯充盈缺损,拟诊为胃肿瘤。术前经多次输血纠正贫血后行剖腹手术,见胃大弯近幽门处有直径4×3.5厘米肿块、质硬,
Female, 26 years old, admitted to hospital because of irregular fever, dizziness, and fatigue in February. Physical examination: body temperature 37.7°C. Chronic anemia face. With the exception of the systolic murmur of class II in the apical area, there was no positive result. 2.20 million red blood cells, 5.5 grams of hemoglobin. Total protein 5.3g%, albumin 3.5g%, globulin 1.8g%. Gastric fluid analysis (histamine test), free acid was 0, weak occult blood positive. Gastrointestinal barium meal examination showed a large filling defect of gastric curvature and was diagnosed as gastric tumor. After undergoing multiple blood transfusions to correct anemia before surgery, laparotomy was performed. See the large urethra near the pylorus with a 4×3.5 cm diameter mass, hard,