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胃底静脉曲张,虽不少见,但临床确诊率不高,特别是瘤样扩张的静脉与胃底新生物易混淆,现将经手术、病理证实2例作一报道。 例1 男,48岁,反复呕血,黑便10月,曾呕血3次约500ml。体检:皮肤、巩膜无黄染,肝脾不大。大便潜血阳性,肝功正常。B超检查:(1)肝硬化可能。(2)脾大。(3)门静脉增宽。胃镜检查:(1)慢性萎缩性胃炎。(2)胃底隆起病变,性质待查。钡餐检查:食管粘膜增粗及扭
Stomach varicose veins, although not uncommon, but the clinical diagnosis is not high, especially the tumor-like dilatation of the vein and the stomach of new organisms easily confused, now by surgery, pathology confirmed 2 cases for a report. Example 1 male, 48 years old, repeated hematemesis, melena in October, had vomiting blood about 500ml. Physical examination: skin, sclera no yellow dye, liver and spleen not. Fecal occult blood positive, normal liver function. B-ultrasound: (1) cirrhosis may be. (2) splenomegaly. (3) portal vein widening. Gastroscopy: (1) chronic atrophic gastritis. (2) Stump uplift, nature to be investigated. Barium meal examination: thickening of the esophageal mucosa and twisted