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胃结核病较少见。我们收集1979年以来近800例胃切除术后经病理检查确诊的胃结核病4例,报告如下。 1 病历简介例1.病人女性,33岁,1981年6月入院。病人6个月来上腹胀痛,时有返酸、嗳气,全身乏力,关节酸痛。入院前2个月上腹痛突然加重,呕吐咖啡色血及血块数次,嗣后解黑便,当地医院诊断为十二指肠球部溃疡,经中西药治疗未愈。入院前4天不能进食,频繁呕吐(含隔夜食物),带腐臭味。查体:消瘦,腹呈舟状,见有胃形,上腹可扪及长圆形肿块。X线钡餐检查:幽门管变形,长时间呈痉挛状态,观察1小时仅见少量钡剂通过,无龛影及占位性病变。大便隐血(++)。血沉40mm/1h。以十二指肠球部溃疡伴幽门梗阻于1981年6月行胃大部切除术。术中见幽门管腔狭小,周围见
Stomach tuberculosis is rare. We collected nearly 800 cases of gastric tuberculosis confirmed by pathology after gastrectomy since 1979, and the report is as follows. 1 medical records brief introduction Example 1 patient female, 33 years old, admitted in June 1981. Patients with abdominal pain in 6 months, sometimes back acid, belching, generalized weakness, joint pain. 2 months before admission, abdominal pain suddenly increased, vomiting brown blood and blood clots several times, then black solution, the local hospital diagnosis of duodenal ulcer, the Chinese and Western medicine healed. 4 days before admission can not eat, frequent vomiting (including overnight food), with rotten smell. Physical examination: weight loss, abdomen was boat-shaped, see the stomach, upper abdominal palpable and oblong mass. X-ray barium meal examination: pyloric tube deformation, was spastic for a long time, observed only a small amount of barium passed 1 hour, no niche shadow and space-occupying lesions. Stool occult blood (++). ESR 40mm / 1h. To duodenal ulcer with pyloric obstruction in June 1981 underwent partial gastrectomy. See intraoperative pyloric lumen narrow, see around