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患者,女,４０岁,因便血１天于２０００年１０月１２日入院。当时无诱因腹部阵发性隐痛,继之排出暗红色血便约１５００ｍｌ,伴头晕、心悸、全身出汗来院治疗。否认肝炎、消化性溃疡、痔疮病史。体检:中度贫血貌,浅表淋巴结不肿大,腹部无肠型,左中腹饱满,似有包块但边界不清,有轻压痛,肝脾不肿大。实验室检查:Ｈｂ６８ｇ/Ｌ,白细胞计数及其分类正常,血小板正常。大便隐血阳性。胸片正常。入院后经内科保守治疗欠佳,次日
The patient, female, 40 years old, was hospitalized on October 12, 2000 due to blood in the stool. At that time there was no cause for paroxysmal abdominal pain, followed by the discharge of dark red blood about 1500ml, with dizziness, palpitations, sweating to the hospital. Denies hepatitis, peptic ulcer, and history of acne. Physical examination: Moderate anaemia appearance, superficial lymph nodes are not swollen, abdomen has no gut type, and the left midriff is full. It seems that there are masses but the borders are unclear, there is mild tenderness, and the liver and spleen are not swollen. Laboratory tests: Hb68g/L, white blood cell count and its normal classification, normal platelets. Fecal occult blood is positive. Chest radiographs are normal. After admission, conservative treatment by the Department of Internal Medicine is unsatisfactory, the next day