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患者,男性,55岁,湖南临湘人。1956年粪检发现血吸虫卵,诊断为血吸虫病脾肿大。曾于1956、1959年两次锑剂治疗。因脾脏逐渐肿大20余年,伴腹胀、鼻衄、头昏和乏力而住院。体检:腹部膨隆,腹壁静脉稍充盈。于1983年10月行切脾和肝活检术。术中见肝脏轻度萎缩,质硬,表面有大小不等、形状不整的结节突起,肝圆韧带增粗,直径约1cm,其内的附脐静脉充盈怒张:脾充血肿大,胃小弯处血管增粗弯曲,腹腔内有少量腹水。关闭腹腔时,见左侧腹壁脐旁静脉壁上有5×2×3cm肿块,再行肿块切除术。病理检查示血吸虫病肝硬变和脐旁
Patient, male, 55 years old, Hunan Linxiang people. Schistosomiasis eggs were found in a fecal examination in 1956 and diagnosed as schistosomiasis with splenomegaly. In 1956, 1959 twice antimony agent treatment. Due to the gradual enlargement of the spleen more than 20 years, with abdominal distension, epistaxis, dizziness and fatigue and hospitalization. Physical examination: Abdominal bulging, a slight filling of the veins of the abdominal wall. In October 1983 line of splenectomy and liver biopsy. Surgery, see the liver mild atrophy, hard, the surface has a range of sizes, irregular nodular process, round hepatic ligament thickening, diameter of about 1cm, the inside of the umbilical vein filled with engorgement: splenic congestion, stomach Small bend at the vascular thickening and bending, abdominal a small amount of ascites. Close the abdominal cavity, see the left abdominal wall umbilical vein wall with 5 × 2 × 3cm mass, and then the tumor resection. Pathological examination showed schistosomiasis cirrhosis and umbilical