论文部分内容阅读
脾脏的原发和继发性肿瘤均较为少见。脾血管肉瘤合并微血管病性溶血性贫血(MHA)更是罕见。现将我院1975年8月收治1例报告如下: 患者男性,39岁,桃源人,农民,于1975年8月1日入院。8个月来上腹部疼痛,以左季肋区胀痛为主,食欲减退,体重明显减轻,6月后头部出现肿块并进行性增大。入院前4天左腹部疼痛加剧,绞痛,背胀,尿红。主要体征:体温38.4℃,脉搏72次/分,呼吸18次/分,血压126/80。慢性重病容,消瘦,皮肤粘膜苍白,头左顶后部及右额部各有鸭蛋及核桃大肿块,质软,不活动,有波动感,无红热及压痛。心肺无征。腹软,肝未触及,脾于左肋下5厘米,有压
Spleen primary and secondary tumors are relatively rare. Splenic angiosarcoma with microvascular hemolytic anemia (MHA) is even rare. Now in our hospital in August 1975 admitted to a report as follows: The patient male, 39 years old, Taoyuan, peasants, admitted on August 1, 1975. The pain in the upper abdomen in 8 months was mainly caused by pain in the left quarter of the ribs. The loss of appetite and body weight were significantly reduced. In June, the head showed lumps and progressive increase. 4 days before admission left abdominal pain, cramps, dilatation, red urine. The main signs: body temperature 38.4 ℃, pulse 72 beats / min, breathing 18 beats / min, blood pressure 126/80. Chronic severe disease, weight loss, pale skin and mucous membranes, head and left top and right forehead, respectively, a large egg and walnut large ducks, soft, not moving, there is no flu, no redness and tenderness. Heart and lung without sign. Abdominal soft, liver not touched, spleen in the left rib 5 cm, pressure