casereportofXXX(英文病例汇报).pptVIP

Case report The Third Ward of The Department of Gastroenterology The Third Section of The Department of Gastroenterology Medical Records for Admisson Medical Number:Y1571532 General information Name: XXX Age: Twenty One Sex: Male Race: Han Nationality: China Address: XinYang,Henan. Occupation: Excavator driver Marital status: Unmarried Date of admission: Nov 11th, 2015 Date of record: 8Pm, Nov 11th, 2015 Complainer of history: patient’s father and himself Reliability: Reliable  Chief complaint: Reduplicated nausea and vomit for six and a half months. The Third Section of The Department of Gastroenterology Present illness: The patient felt sudden nausea and vomited the food he took in with no recognizable cause about six and a half months ago. He didn’t pay attention to it and thought he had ate something wrong. The Third Section of The Department of Gastroenterology Present illness: About two weeks later, the nauseous and vomitory symptom appeared again and he felt sour regurgitation and heartburn at the same time.So he went to the first affiliated hospital of SuZhou University. The Third Section of The Department of Gastroenterology Present illness: The endoscopic examination showed he had duodenal ulcers and reflux esophagitis.And the pathological report of the ulcers was chronic inflammation with proliferation of lymphocytes.Then the Rabeprazole which had show a curative effect was given to him. The Third Section of The Department of Gastroenterology Present illness: But two months later after the treatment,the above-mentioned symptom appeared again and became more serious so he went to the first affiliated hospital of SuZhou University again for further threatment. The Third Section of The Department of Gastroenterology Present illness: The abdominal CT,MRI and MRCP all showed the dilatation of the bile ducts（both the intra- hepatic and extrahepatic bile d-ucts）and the pancreatic ducts. Besides,the abd