论文部分内容阅读
患者50岁,自觉腹部不断增大伴食欲不振及腹胀3年,脐部包块自然破溃并大量流液、破溃口流液淋漓不断达半月而入院求治。门诊以“脐瘘”收住外科。B超提示:“腹腔内巨大囊肿”,初诊为卵巢肿瘤转入妇科。查体:T38.6℃,消瘦体型,脱水外貌,体质衰弱。腹部膨隆,脐部见一包块6×6cm大小,质软,中央有0.3cm瘘口,少许溢液。下腹部触及一轮廓不清包块,约25×18cm大小,质中等,不活动。双合诊:后穹窿触及凹凸不平的包块下界,不能推移。拟诊:1、卵巢肿瘤,2、脐瘘。
50-year-old patient, consciously continue to increase the abdomen with loss of appetite and bloating for 3 years, umbilical mass rupture of the natural and a large number of fluid flow, ulceration fluid dripping constantly up to half a month and admitted to the hospital for treatment. Clinic with “umbilical fistula” to receive surgery. B-Tip: “intra-abdominal huge cysts,” newly diagnosed ovarian cancer into gynecology. Physical examination: T38.6 ℃, body weight loss, dehydration, physical weakness. Abdominal bulging, umbilical see a mass 6 × 6cm size, soft, central 0.3cm fistula, a little discharge. The lower abdomen touches a blurred mass, about 25 × 18cm size, medium quality, inactive. Double Clinics: After the vault touches the rugged mass under the block, can not move. Diagnosed: 1, ovarian cancer, 2, umbilical fistula.