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近年来,结直肠癌发病率有所增高,临床上如不引起重视,易误诊误治,现将工作中遇到的较具代表性4例分析如下。1病历摘要例1:女,38岁。因右中下腹痛1 d入院,既往有慢性便秘史10 a余,近5 d未排大便;右中下腹有固定性压痛,无反跳痛及肌紧张;血WBC 1.3×109/L,无贫血;腹部B超检查未见异常。在患者家属要求下,行剖腹探查、阑尾切除术,取右下腹经腹直肌切口,长约7.0 cm,术中见腹腔内有约30 ml淡黄色清亮无异味积液,阑尾呈单纯性炎症改变,阑尾腔内可扪及一质
In recent years, the incidence of colorectal cancer has increased clinically, if not pay attention to misdiagnosis and mistreatment, now encountered in the work of the more representative 4 cases are analyzed as follows. 1 Medical Summary Example 1: Female, 38 years old. Due to the right lower abdominal pain 1 d admission, past history of chronic constipation more than 10 a, nearly 5 d did not row stool; right lower abdomen with fixed tenderness, no rebound tenderness and muscle tension; blood WBC 1.3 × 109 / L, no Anemia; Abdominal B-ultrasound showed no abnormalities. In the request of the patient’s family, laparotomy, appendectomy, right lower quadrant abdominal rectus incision, about 7.0 cm, see the intraperitoneal intraperitoneal about 30 ml yellow clear no odor liquid, the appendix was simple inflammation Change, appendix cavity palpable and a quality