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患者,男,53岁.上腹部胀满伴间断恶心1年,加重伴黑便1周,以消化道溃疡并出血入院.20年前因患十二指肠球部溃疡,经内科治疗好转出院.查体:BP17.3/11.2kPa,P80次/min,轻度贫血貌,巩膜无黄染,浅表淋巴结无肿大,腹软,剑突下轻压痛,未触及包块,肝脾肋下未及.血常规:Hb100g/L,RBC3.2×10~(12)/L,WBC7.0×10~9/L,N0.78,L0.21,E0.01.急诊胃镜:胃窦大弯侧见一约3×2.5cm大小隆起,粘膜规整,近幽门见黄豆大小粘膜隆起,稍红,出血,取活检病理报告胃窦部粘膜下脂肪瘤.给予胃大部切除术,术后1周痊愈.术后取活检病理报告证明脂肪瘤诊断无误.
Patient, male, 53 years old. The upper abdomen was full with intermittent nausea for 1 year. He was aggravated with melena for 1 week. He was admitted to the hospital with gastrointestinal ulcers. He was diagnosed with duodenal ulcers 20 years ago and he was discharged from the hospital after medical treatment. Physical examination: BP17.3/11.2kPa, P80 beats/min, mild anemia appearance, no yellow staining of sclera, no enlargement of superficial lymph nodes, soft abdomen, light tenderness under xiphoid process, untouched mass, liver and spleen ribs Undergoing. Blood routine: Hb100g/L, RBC3.2×10~12/L, WBC7.0×10~9/L, N0.78, L0.21, E0.01. Emergency gastroscope: gastric antrum Large curvature of the side to see a size of about 3 × 2.5cm uplift, mucosal regular, near the pylorus mucosal uplift, see the size of the soy, red, bleeding, biopsy pathology reports submucosal lipoma of the gastric antrum. Give the gastrectomy, postoperative 1 week recovery. Postoperative biopsy pathology report confirmed that the diagnosis of lipomas is correct.