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马××,女,26岁,农民,于1981年9月26日入院。患者于2月前发现上腹部有一包块,有核桃大小,伴隐痛。近半月包块增长至成人拳头大小,疼痛加剧,并出现间歇性呕吐,呕吐物为胃容物,伴食欲减退,返酸,嗳气,黑便,周身乏力。入院时T38℃,P88次/分,BP100/60mmHg,发育中等,营养欠佳,心肺(—),上腹部隆起,扪及12×10×10cm~3椭圆形硬质包块,活动。胸部X线(—),钡餐检查于胃窦部见10×8cm~2充盈缺损,幽门前区破坏明显,钡剂通过受阻。于1981年10月2日行剖腹术,证实包块位于胃窦部,呈椭圆形,有12×10×10cm~3,胃左动脉周
Ma X, female, 26 years old, farmer, was admitted on September 26, 1981. The patient had a mass on the upper abdomen, which was about the size of a walnut, with pain. In the near half of the month, the mass of the mass increased to the size of an adult’s fist. The pain increased, and intermittent vomiting occurred. The vomit was stomach contents, with loss of appetite, acid reflux, belching, black stools, and general weakness. At admission T38°C, P88 beats/min, BP100/60mmHg, moderate development, poor nutrition, heart-lung (-), upper abdomen uplift, palpable and 12×10×10cm~3 oval hard mass, activity. Chest X-ray (-), barium meal examination in the gastric antrum see 10 × 8cm ~ 2 filling defect, the pyloric area damage significantly, blocking through the tincture. The laparotomy was performed on October 2, 1981. It was confirmed that the mass was located in the antrum of the gastric antrum. It was oval and had a size of 12×10×10 cm~3.