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患者男性,40岁,蒙古族。主诉胸骨后疼痛1个月。起初自感进食后胸骨后疼痛,随后症状进行性加重,同时伴有乏力、纳差、盗汗及低热。既往无结核病史。胸片检查:心肺膈未见异常。血沉:5mm/h。内镜见距门齿35～37cm处食管前壁有一0.8cm×1.4cm不规则凹陷形溃疡性病变,周围粘膜呈围堤样肿胀隆起,质略僵硬,组织脆,管腔无明显狭窄。组织病理见结核结节形成。经抗痨治疗1个月,胸骨后疼痛
Male patient, 40 years old, Mongolian. Chief complaint chest pain after 1 month. At first, the feeling of post-sternal pain after eating, followed by progressive aggravating symptoms, accompanied by fatigue, anorexia, night sweats and fever. No past history of tuberculosis. Chest X-ray examination: no abnormal heart and diaphragm. ESR: 5mm / h. Endoscopic see from the incisors 35 ~ 37cm at the esophagus anterior wall of a 0.8cm × 1.4cm irregular depression ulcerative lesions around the mucosa was embankment-like swollen bulge, the quality of rigid, crisp tissue, lumen without significant narrowing. Tissue pathology see tuberculosis nodules. Anti-tuberculosis treatment for 1 month, sternal pain