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患者男,48岁,因胸骨后疼痛.梗噎感3年而入院.3年前与朋友聚餐后,胸骨后呈持续性疼痛,进食加重,伴梗噎感.服过多种药物,疼痛减轻,但咽下困难未消除.外院多次钡透,胃镜检查均诊断为食管癌.查体:生命体征平稳,无恶病质,浅表淋巴结未触及.心肺无异常.腹软无压痛,肝、脾未触及.X线摄片:纵隔影无增宽.胃镜检查:食管中段粘膜充血、水肿,管腔狭窄.反复冲洗后,见一长条形白色骨样异物横跨于食管,两端嵌入粘膜内,局部充血、水肿、溃烂,表面覆以秽苔,钳取失
The patient, male, 48 years old, suffered from post-sternal pain and was admitted to the hospital for 3 years. After 3 years of dinner with his friends, the sternal chest presented persistent pain, aggravating the diet, , But the swallowing difficulties did not eliminate. Outside the hospital many barium, gastroscopy were diagnosed as esophageal cancer. Physical examination: vital signs stable, no cachexia, superficial lymph nodes not touched. Cardiopulmonary no abnormal abdominal tenderness without tenderness, liver, spleen Not touched. X-ray radiography: mediastinoscopy without widening. Gastroscopy: middle esophageal mucosal congestion, edema, stenosis. Repeatedly rinsed, see a long strip of white bone-like foreign body across the esophagus, the ends embedded in the mucosa Within the local congestion, edema, ulceration, the surface covered with foul moss, pliers loss