患者女,60岁。因上腹饱胀、纳差4个月,恶心、呕吐10天,以慢性胃炎收住院治疗,患者4个月前无诱因感上腹饱胀、纳差、进食量逐渐减少,2个月前外院胃镜检查诊断为疣状胃炎,2月来口服胃动力药物、抑酸药物治疗,症状时轻时重,4个月来体重减轻5kg,近10天来恶心、呕吐,呕吐物为胃内容? Female patient, 60 years old. Due to abdominal fullness, anorexia of 4 months, nausea and vomiting for 10 days, hospitalized with chronic gastritis, 4 months before the patient had no feeling of upper abdominal fullness, anorexia, and food intake decreased gradually, 2 months ago The gastroscopic examination in the external hospital was diagnosed as verrucous gastritis. Oral medications and anti-acid drugs were given in February. Symptoms were mild and heavy. In the past 4 months, weight loss was 5 kg. Nausea and vomiting occurred in the past 10 days. The content of vomit was stomach contents.