case_report_of_某(英文病例汇报).ppt

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1、CasereportTheThirdWardofTheDepartmentofGastroenterologyTheThirdSectionofTheDepartmentofGastroenterologyMedicalRecordsforAdmissonMedicalNumber:Y1571532GeneralinformationName:XXXAge:TwentyOneSex:MaleRace:HanNationality:ChinaAddress:XinYang,Henan.Occupation:ExcavatordriverMa

2、ritalstatus:UnmarriedDateofadmission:Nov11th,2015Dateofrecord:8Pm,Nov11th,2015Complainerofhistory:patient’sfatherandhimselfReliability:ReliableChiefcomplaint:Reduplicatednauseaandvomitforsixandahalfmonths.TheThirdSectionofTheDepartmentofGastroenterologyPresentillness:Thep

3、atientfeltsuddennauseaandvomitedthefoodhetookinwithnorecognizablecauseaboutsixandahalfmonthsago.Hedidn’tpayattentiontoitandthoughthehadatesomethingwrong.TheThirdSectionofTheDepartmentofGastroenterologyPresentillness:Abouttwoweekslater,thenauseousandvomitorysymptomappeared

4、againandhefeltsourregurgitationandheartburnatthesametime.SohewenttothefirstaffiliatedhospitalofSuZhouUniversity.TheThirdSectionofTheDepartmentofGastroenterologyPresentillness:Theendoscopicexaminationshowedhehadduodenalulcersandrefluxesophagitis.Andthepathologicalreportoft

5、heulcerswaschronicinflammationwithproliferationoflymphocytes.ThentheRabeprazolewhichhadshowacurativeeffectwasgiventohim.TheThirdSectionofTheDepartmentofGastroenterologyPresentillness:Buttwomonthslaterafterthetreatment,theabove-mentionedsymptomappearedagainandbecamemoreser

6、ioussohewenttothefirstaffiliatedhospitalofSuZhouUniversityagainforfurtherthreatment.TheThirdSectionofTheDepartmentofGastroenterologyPresentillness:TheabdominalCT,MRIandMRCPallshowedthedilatationofthebileducts（boththeintra-hepaticandextrahepaticbiled-ucts）andthepancreaticd

7、ucts.Besides,theabdominalCTsho-wedtheenlargementofpancre-aswiththeprobabilityofpancr-eaticdivisum.Thenhewasdiag-nosedaspancreatitisandthesymptomatictreatmentwasappliedbuttheeffectwasnotcomfor-table.TheThirdSectionofTheDepartmentofGastroenterologyPresentillness:Sohewenttot

8、hefirstaffiliatedhospitalofZhengZhouUniversity.TheabdominalCTshowedtherewereso-meenlargedlymphno