患男,39岁。以间断性上腹痛3年伴进行性吞咽困难半年于1997年3月17日入院。3年前因上腹间断性隐痛,行胃镜检查诊断为胃贲门癌,本人拒绝手术,行肿瘤化学治疗1疗程。半年前出现进干食有硬噎感,且渐加重,近1月来完全不能进食,食后即吐,体重明显下降,无呕血及黑便史,大便干燥,尿正常。查体:T36℃,P72次/min,R16次/min,BP12/8kPa。营养差。皮肤及巩膜无黄染,全身浅表淋巴结无肿大。心肺未见异常。腹平软,上腹正中压痛阳性,未及包块,肝脾不大,腹水征阴性。入院后行尿粪常规,潜血及肝肾功检查均正常,血常规检查血红 Suffering from a man, 39 years old. Three months of intermittent dysphagia with progressive dysphagia were admitted to hospital on March 17, 1997. 3 years ago because of epigastric intermittent pain, gastroscopy was diagnosed as gastric cardia cancer, I refused surgery, a line of cancer chemotherapy treatment. Half a year ago, there was a hard feeling in dry food, and it became worse. In the past month, she could not eat at all, she spit after eating, her body weight dropped significantly, he had no history of vomiting blood and melena, his stool was dry, and his urine was normal. Physical examination: T36°C, P72 beats/min, R16 beats/min, BP12/8kPa. Poor nutrition. The skin and sclera were yellow-free, and there was no swelling of the superficial lymph nodes. No abnormalities in heart and lung. The abdomen was soft, and the upper abdomen had a positive tenderness, but no mass, and the liver and spleen were not large. The ascites sign was negative. Urine routine after admission, occult blood and liver and kidney function tests were normal, blood routine examination blood red