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1 一例恶性畸胎胎瘤误诊为腰椎间盘突出 患者,女,43岁。因左侧腰腿痛4月余入院。患者4个月提出现左侧腰腿疼痛,开始阵发性隐痛,活动后稍重,能坚持工作。近2月来疼痛逐渐加重,夜间明显,疼痛时出汗,行走跛行。无发热、腹痛、月经规律,多次到当地医院检查,诊断为腰椎间盘“突出”给予药物“针灸、按摩、牵引、局部封闭等治疗,未见疗效,体重下降7kg,而到本院就诊,既往健康。体检:体温36.1℃,脉搏82次/分,呼吸20次/分,血压16/9.5kPa。神清,轻度贫血貌。全身表浅淋巴结无肿大。心肺正常,腹平软,左下腹深压痛,无反跳痛,左下腹触及拳头大小包块,左骶骨盆处明显叩痛,左下肢腿抬高试验阳性。双下肢无浮肿。辅助检查:血红蛋白100g/L,红细胞3.9×10~(12)/L,白细
1 A case of malignant teratoma misdiagnosed as lumbar disc herniation. Female, 43 years old. Left back pain was admitted to the hospital for more than 4 months. The patient presented with pain on the left lower back for 4 months, began paroxysmal pain, and was slightly heavier after the event and was able to continue working. Pain increased gradually in the past 2 months. Obvious at night, sweating during pain, walking and walking. No fever, abdominal pain, menstrual pattern, repeatedly to the local hospital for examination, diagnosis of lumbar disc “prominent” to give drugs "acupuncture, massage, traction, partial closure and other treatment, no effect, weight loss of 7kg, and to the hospital for treatment, Health: Physical examination: body temperature 36.1°C, pulse 82 beats/min, respiratory rate 20 breaths/min, blood pressure 16/9.5 kPa, Shen Qing, mild anemia appearance, no swelling of superficial superficial lymph nodes, normal heart and lungs, abdominal softness, The left lower quadrant deep tenderness, no rebound tenderness, left and right lower abdomen touched the fist mass, the left iliac pelvis significant pain, left lower limbs test positive. No lower limbs edema.Assist examination: hemoglobin 100g / L, red blood cells 3.9 × 10~(12)/L, white fine