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患者 ,男 ,19岁 ,外地打工者。因反复上腹部疼痛伴反酸、嗳气、消瘦、乏力半年 ,再发加重 1周 ,于2 0 0 1年 9月 16日来诊。患者自半年前开始 ,无明显诱因出现上腹部剑突下隐痛不适 ,以后症状逐渐加重 ,伴反酸、嗳气 ,疼痛严重时呕吐 ,饮食欠佳。近来乏力 ,消瘦明显 ,体重下降
Patient, male, 19 years old, working migrant workers. Due to repeated upper abdominal pain with acid reflux, belching, weight loss, fatigue for six months, re-exacerbation of 1 week, on September 16, 2001 visit. Patients since six months ago, there was no obvious incentive for upper abdominal xiphoid pain and discomfort, and later symptoms gradually aggravated, with acid reflux, severe vomiting, poor diet. Recently fatigue, weight loss significantly, weight loss