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病人女性,52岁。因口干、多饮、多尿伴消瘦8年,血糖控制欠佳2个月余于2009-05-08入我院内分泌科。给予诺和灵30R并监测血糖直至血糖控制满意,并配以活血化瘀及营养神经等综合治疗。5月19日病人出现上腹部及左下腹部隐痛不适,以左下腹部为主,无放射及转移,伴有呕吐,呕吐后腹痛无缓解,5月20日病人出现大便带血,呈鲜红色大便,病程中病人无其他伴随症状。查体:心肺听诊阴性,腹部平软,左下腹压痛,无反跳痛,未扪及包快,肠鸣音活跃。腹部CT:(1)胆囊结石,(2)降结肠肠壁弥漫性增厚,(3)盆腔积液。CT腹部血管成像排除缺血性肠病。肠镜检查:距肛门30cm见一新生物,占据整个肠腔,致肠腔狭
Female patient, 52 years old. Due to dry mouth, drink more, polyuria with weight loss 8 years, poor blood sugar control more than 2 months in 2009-05-08 into the hospital endocrinology. Novolin and 30R to give blood glucose monitoring until the satisfaction of blood sugar control, accompanied by blood circulation and nutrition and other comprehensive treatment of nerve. May 19 patients with upper abdominal pain and lower left abdomen pain and discomfort, mainly to the left lower abdomen, no radiation and metastasis, accompanied by vomiting, vomiting without relief after abdominal pain, May 20 patients with stool bloody, was bright red stool, There are no other symptoms in the course of the disease. Physical examination: cardiopulmonary auscultation negative, soft belly, left lower quadrant tenderness, no rebound tenderness, no palpable bag fast, bowel sounds active. Abdomen CT: (1) gallstone, (2) diffuse thickening of the bowel wall, (3) pelvic fluid. CT abdominal angiography excludes ischemic bowel disease. Colonoscopy: 30cm from the anus to see a new creature, occupy the entire intestine, resulting in narrow intestine