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患者男,73岁,农民。因进行性吞咽困难半个月。胃镜检查:距门齿33～38cm 可见黏膜不规则环状皱襞隆起,表面糜烂,覆污秽苔,组织脆、弹性差,触之易出血。食管壁僵硬,扩张差,进镜稍有阻力,胃黏膜未见异常。病理检查为中分化鳞癌。予放射治疗总剂量5000 cGy/5 w,2个月后,再次入院复查。入院查体:体温36.5℃,血压110/80 mm Hg,慢性病容,消瘦,皮肤黏膜无黄染,浅表淋巴结无肿大。心肺无异常。腹软,无压痛及反跳痛。实验室检查:血白细胞9.5×
Male patient, 73 years old, farmer. Due to progressive dysphagia half a month. Gastroscopy: from the incisors 33 ~ 38cm visible mucosal irregular ring wrinkle uplift, surface erosion, cover the foul moss, tissue brittle, poor flexibility, easy to touch the bleeding. Esophageal wall stiffness, poor expansion, into the mirror a little resistance, no abnormal gastric mucosa. Pathological examination for the differentiation of squamous cell carcinoma. To the total radiation dose of 5000 cGy / 5 w, 2 months later, re-admitted to hospital for review. Admission examination: body temperature 36.5 ℃, blood pressure 110/80 mm Hg, chronic disease, weight loss, skin and mucosa without yellow dye, superficial lymph nodes without swelling. No abnormal heart and lung. Abdomen soft, no tenderness and rebound tenderness. Laboratory tests: white blood cells 9.5 ×