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十二指肠球部腺瘤并出血临床较少见。我院自1992年~1996年收治2例,报告如下: 例1 某男,65岁,因柏油样大便,便后乏力1周收住院。入院体检;轻度贫血貌,心肺听诊未闻及异常,剑突下压痛,无反跳痛,未触及包块,双肾区无叩痛。化验检查:Hb89g/L,大便潜血试验(++),胃镜示:十二指肠球部见一突入肠腔蒂状物,触易出血,表面有淡黄色纤维素附着。诊断为十二指肠球部肿瘤,未找到癌细胞。手术探查见:十二指肠球部见一
Duodenal adenomas and bleeding are less common clinically. In our hospital from 1992 to 1996, 2 cases were reported as follows: Example 1 A man, 65 years old, was hospitalized because of a tarry stool. Admission examination; mild anemia appearance, heart and lung auscultation did not smell abnormal, xiphoid tenderness, no rebound tenderness, no palpable mass, no kidney pain in the kidney area. Laboratory tests: Hb 89g / L, fecal occult blood test (++), gastroscopy showed: duodenal ball see a sudden intrusion into the intestine, easily bleeding, the surface of a pale yellow cellulose adhesion. A diagnosis of a duodenal bulb tumor was not found. Surgical exploration see: see the duodenal bulb