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1 临床资料 患者,男,49岁,运-7试飞员,飞行时间:2300h。因间断性上腹隐痛6个月于1997年11月3日入院。平素身体健康。6个月前开始无明确诱因上腹隐痛,为剑下区胀痛,进食当时明显,伴轻度腹胀、呃逆、食纳差,不伴恶心、呕吐、黑便。症状开始时正好在空军某疗养院健康疗养,在作健康大体检时因诉上腹痛而行上消化道钡餐透视检查,因结果无异常而未行纤维胃镜等进一步检查。疗养出院后一直从事正常飞行至入院前。半年来上述症状呈间断性、渐重性发作,食欲尤差,体重下降明显(半年内下降3kg)。家族史中其父因“食管癌”病故。查体:血压18.5/11kPa,营养中等,皮肤巩膜
1 clinical data patients, male, 49 years old, shipped -7 test pilots, flight time: 2300h. Due to intermittent upper abdominal pain for 6 months in November 3, 1997 admission. Normal physical health. 6 months ago there is no clear incentive to abdominal pain, for the sword under the area of pain, eating was obvious, with mild abdominal distension, hiccups, poor appetite, not with nausea, vomiting, melena. At the beginning of the symptoms just in the Air Force health care in a sanatorium, for general health examination due to abdominal pain and abdominal barium meal on the upper gastrointestinal examination, due to the results without exception and further examination of fiber gastroscopy and so on. He has been engaged in normal flight since admission to hospital. Over the past six months the symptoms were intermittent, progressive seizures, particularly poor appetite, weight loss significantly (six months decreased 3kg). Family history in the parent because of “esophageal cancer” died. Physical examination: blood pressure 18.5 / 11kPa, moderate nutrition, skin sclera