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一步法置管治疗巨大膈下脓肿1例

雷亿群,陈如华, 陈小拔

JOURNAL OF NANJING MILITARY MEDICAL COLLEGE（2001）

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Abstract
患者,男,58岁,因上腹部胀痛不适4月余,加重4 d入院.患者4个月前无明显诱因出现上腹部胀痛,呈间歇性,时伴返酸呕吐,为胃内容物,量不多.胃镜诊断"胃角溃疡".奥美拉唑治疗后缓解.近4 d来感觉上腹胀痛有所加重,并解黑便数次,复查胃镜诊断"胃幽门管腺癌".查体:全身表浅淋巴结不肿大,心肺正常,腹平软,上腹压痛(+),以剑突下明显,未及肿块.施行胃癌根治术.
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