上腹部

A 54-year-old man was admitted with irregular abdominal cramps, with pain in his epigastrium.

一位54岁的男性主诉有不规则的腹部痉挛，而且发现疼痛处位於上腹部。

Results There is much more subcutaneous fat in umbilical,epigastrium and hypogastrium region(P＜0.01).Liposuction is indicated in the above area when thickness exceeds 25mm,24mm and 12mm respectively.

结果 脐部、上腹部、下腹部皮下脂肪明显高于其它部位P＜0.01，当以上区域皮下脂肪厚度分别超过25mm、24mm、12mm时，应做为脂肪抽吸术的适应证范围。

Not typical bosom is painful, clinical go up to be diagnosed certainly hard, ask for if the bosom is painful integratedly, epigastrium symptom (be like symptom of stomach, esophagus) the person that need to be differentiated with angina pectoris.

不典型胸痛，临床上难以确定诊断，如胸痛综合征，上腹部症状需和心绞痛鉴别者。2。

the functionality dyspepsia is continues or manifests suddenly repeatedly, including epigastralgia, on the distension of the abdomen, is early full, belches, disgusting, epigastrium symptom and so on vomit group of syndromes.

功能性消化不良(functional dyspepsia， fd)是持续或反复发作的，包括上腹痛、上腹胀、早饱、嗳气、恶心、呕吐等上腹部症状的一组症候群。

Advertisement of the believe what one hears before be admitted to hospital, do not listen to doctor advice, the person that take the medicaments that advertisement publicizes 4 . The 1.2 methods that monitor use dynamic blood sugar of MINIMED of beautiful honest force to monitor appearance, the following abdomen or epigastrium insert a dot for probe, the 72 H that monitor or longer chroma of dextrose of the fluid between the cell, daily input 4~6 second value of blood sugar pointing to blood, by him patient or the doctor helps an input or record big event (dine, motion, with medicine and other), monitor 1, 2, each download record result 1 times when 3 D. After logger of plan of cure of 1.3 attune punish records 24h, its information downloads, according to trend of blood sugar wave motion, adjust remedial plan. After 48 H, download 1 times again, if blood sugar stability amounts to mark, adjust remedial plan no longer, like blood sugar cannot satisfaction amounts to mark, offer tone punish cure program again, after 72 H, its information complete download.

入院前听信广告，不听医生劝告，服用广告宣传的药物者4例。1.2监测方法采用美敦力MINIMED动态血糖监测仪，以下腹部或上腹部为探头插入点，监测72 h或更长时间细胞间液葡萄糖浓度，每日输入4~6次指血血糖值，由患者本人或医生帮助输入或记录大事件(进餐、运动、用药及其它)，监测1、2、3 d时各下载1次记录结果。1.3调整治疗方案记录器记录24h后，将其信息下载，根据血糖波动趋向，调整治疗方案。48 h后，再下载1次，如血糖稳定达标，则不再调整治疗方案，如血糖不能满足达标，则再给予调整治疗方案，72 h后，将其信息完整下载。

Admission examination: the spirit of soft, clear consciousness, nutrition, poor growth, weight loss significantly, weight 23kg, moderate anemia appearance, and the lungs have not heard a clear wet and dry rale, abdomen soft, upper abdominal tenderness under Xiphoid, Cullen and lower abdominal tenderness light, I no obvious abnormalities

入院时查体：精神软，神志清，营养发育差，消瘦明显，体重23kg，中度贫血貌，两肺未闻及明显的干湿罗音，腹软，上腹部剑突下压痛，脐周及下腹部轻压痛，余未见明显异常。

CT findings of GP included gas accumulation under the recess of xiphoid,gas accumulation in the area of lesser omentum,gas accumulation under the recess of peritoneal cavity,and seroperitoneum. Conclusion As a non-invasive examination means for abdomen,CT examination can discover whether there is dissociative gas or not and estimate the amount of gas in abdomen more rapidly and exactly.CT can also estimate the position of perforation elementarily.The recess under xiphoid is the first place where the dissociative gas assembles after gastrointestinal perforation.

材料与方法1 一般资料：1999年7月至2 0 0 4年1月我院经CT检查的胃肠穿孔的患者13例，其中男8例，女5例；年龄19～6 5岁，平均4 0 2岁。13例均行腹部CT平扫及站立位腹部X线平片检查，其中6例先行CT检查后行X线检查。8例既往有胃、十二指肠溃疡病史，2例有明显腹部外伤史。10例表现为突发上腹部疼痛、腹肌紧张，1例表现为明显右下腹部疼

Result: Senile gastric cancer patients sought medical advice for epigastralgia,bleeding,vamiting,epigastia tumor. The rate of operation treatment was 76.4％,including radical operation for carcinoma of stomach 45 cases（54.88％）,subtotar-gastretomy 22 cases（21.95）,gastrojejunostomy 9 cases（10.98％）.

结果：老年人胃癌以上腹部疼痛、出血、呕吐、上腹部肿块为主要表现，手术切除率76.4％，其中胃癌根治术45例（54.88％）、胃大部分切除18例（21.95％）、胃空肠吻合改道术9例（10.98％）。

Results:The main clinical symptoms were obstructive jaundice, epigastric discomfort and pain. The main imagic characteristics were ampullary masses, dilations of biliary and pancreatic duct. The endoscope cue for papilla of duodenum and mucosa lesion.

结果：19例壶腹部癌患者以梗阻性黄疸和上腹部不适、疼痛为突出表现；影像学检查主要表现为壶腹部肿物及胆、胰管扩张；内镜提示十二指肠乳头及附近粘膜病变。

Switched to his sniper rifle and shot through one Hunter's unarmed midsection, and then pumped tworounds into the other's vulnerable abdomen.

谢恩切换到了狙击步枪击中了一个猎手的无装甲上腹部，然后对另一个家伙脆弱的下腹部打了2梭子。

I am accused of being overreligious," she said in her quiet, frank manner,"but that does not prevent me thinking the children very cruel who obstinately commit such suicide.""

客人们在卡罗利娜·埃凯家里，举止就文雅一些，因为卡罗利娜的母亲治家很严厉。

Designed by French fashion house Herm è s, this elegant uniform was manufactured in our home, Hong Kong, and was the first without a hat.

由著名品牌 Herm è s 设计，这件高贵的制服是香港本土制造，是我们第一套不配帽子的制服。