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1病例报告患者男,67岁。因腹痛3个月入院。患者入院前3个月开始间断脐周绞痛,与进食无关,无大便变形、变细,无脓血便、黑粪等,无血尿。腹痛逐渐加重,服用颠茄片等解痉药效果不佳,服用非甾体类抗炎药可缓解。查体:脐右侧可触及一包块,约1.5cm×2.0cm,有压痛,脐部稍向外突出,可见少量渗出液,余(-)。初步诊断为腹痛待查:腹部肿瘤?小肠占位?肿瘤标志物检查:CEA 5.2 ng/ml,CA125 59.8 ng/ml,CA19-9
1 case report Patient male, 67 years old. 3 months due to abdominal pain admitted. 3 months before admission to patients with intermittent umbilical cord began to break, and has nothing to do with eating, no bowel deformation, thinning, no purulent blood, black manure, no hematuria. Abdominal pain gradually aggravated, taking subsided belladonna antispasmodic drugs ineffective, taking non-steroidal anti-inflammatory drugs can be alleviated. Examination: The right side of the umbilical palpable mass, about 1.5cm × 2.0cm, tenderness, umbilical slightly outward, showing a small amount of exudate, Yu (-). Initial diagnosis of abdominal pain Pending: abdominal tumor? Small bowel occupancy? Tumor markers: CEA 5.2 ng / ml, CA125 59.8 ng / ml, CA19-9