食道（esophagus）.docVIP

食道（esophagus） Case: Clinical manifestations of esophageal cancer: early stage 1., pharyngeal peduncle, choking most, can disappear and relapse, does not affect eating. Often occurs when the patients mood swings, it is easy to be mistaken for functional symptoms. 2. substernal and epigastric pain were more common. Swallow the food when the sternum or epigastric pain, its nature can show burning, stabbing or pulling, to swallow a rough, hot or spicy food for. It is intermittent at first and can have severe and persistent pain when the tumor invades nearby tissues or penetrates. The location of the pain is often not consistent with the location of the lesion in the esophagus. The pain can be relieved temporarily by antispasmodic. 3., food retention, infection and foreign body feeling, swallow food or water, there is food down slowly and stranded feeling, and after the sternum constrictive feeling or food adhere to the esophagus wall and other feeling, food finish disappeared. The location of the symptoms is consistent with the location of the lesions in the esophagus. 4. throat dryness and constriction, dryness and coarse food are especially evident, and the occurrence of this symptom is often associated with mood swings in the patient. 5. other symptoms in a minority of patients with chest fullness discomfort, pain and other symptoms before the gas branch. Pathology: early esophageal cancer can be divided into concealed type (eye is not easy to detect, under the microscope, (confirmed) erosive mucosa mild erosion defect), plaque type (mucosal surface size of the plaque, cancerous mucosal thickening), papillary type (tumor was nodular, papillary or polypoid uplift, edge and surrounding mucosa clear boundaries). Tissue type: squamous cell carcinoma, adenocarcinoma, undifferentiated carcinoma Nursing diagnosis: First, anxiety, fear and worry, disease, prognosis and radiotherapy, in the family and social status and economic status. Two: nutritional disorders: lower than t