幽门壅塞(国外英文资料).docVIP

幽门梗阻 Pyloric obstruction ? one Primary and present history ? ? ???? Intermittent abdominal pain for 10 years, aggravated with vomiting 7 days. The cancer due to no obvious incentive 10 years ago began to appear on the abdomen ache more than 3 to 4 hours after eating, hungry or night pain, abdominal pain after eating can alleviate temporarily, acid regurgitation, belching, from year month day in our line of gastroscopy diagnosis of duodenal bulb ulcers, ever taking acid (specific types, dosage is unknown), drug treatment but a periodic recurrent abdominal pain. 7 days before the above symptom aggravating and epigastric discomfort, began to appear with nausea, vomiting, vomiting quantity is big, every time of up to 1000-2000 - ml, containing vomit of waste food has the stink of corruption, but contains no bile. In the course of illness, there was no blood, no sweat, no cold war, no fever, no yellow dye, and now to visit our hospital for further treatment. The clinic was screened by a gastro-scopy clinic. Since the disease, poor sleep, poor appetite and low urination. 2 Specialized subject situation ? ? ????? The upper abdomen bulges and the stomach and peristaltic waves are visible, without the varicose veins. The abdomen is soft, the upper abdomen is deep and the pain is positive, there is no pain and the muscle strain, does not touch the package block, the liver spleen is not touched, the morpheus sign (-). In the liver and kidney area, the pain is negative, the full belly percussion is the drum sound, the mobile voice negative, the vibrating water tone positive, the bowel sounds the sound four times, the unsmelling and the breath of the water sounds. 3 First history of illness ? ? ???? Chen shaozhi, male, 50 years old. The patient suffered from intermittent abdominal pain for 10 years and was admitted to hospital on 17 May 2010. This chart features: 1, middle-aged man, the disease is slow, the history is long. 2, the result from a decade ago have no obvious cause