1　病历简介例 1 :患者女性 ,70岁 ,因“反复上腹部疼痛 5年”就诊 ,既往体健。查体 :生命体征正常 ,神清、消瘦 ,心肺未见异常 ,腹平软 ,右上腹压痛 ,无反跳痛 ,肝脾不大 ,NS(- )。行电子胃镜检查 ,胃镜诊断 :十二指肠球部溃疡A1 期 ,Hp(+++) ,术毕拔出胃镜后发现患者不能张口 Case History Case 1: Female patient, 70 years old, due to “repeated upper abdominal pain for 5 years” treatment, previous physical health. Physical examination: vital signs normal, Shen Qing, weight loss, no abnormal heart and lung, abdominal soft, right upper quadrant tenderness, no rebound pain, hepatosplenism, NS (-). Line electronic gastroscopy, endoscopy diagnosis: duodenal ulcer A1, Hp (+++), surgery was pulled out of the gastroscope and found that patients can not mouth