论文部分内容阅读
患者女,39岁。无明显诱因出现上腹部隐痛1年余,进食后明显,伴饱胀感,近2天加重,并伴头晕、乏力,大便呈黑色且稀。体检:一般情况可,浅表淋巴结未及肿大,皮肤无黄染,心肺(-),结膜甲床苍白,全腹平坦,胃肠型、蠕(-),肠鸣音正常。否认家族类似病史及遗传病史。实验室检查:血红蛋白86 g/L,大便潜血(+);胃肠肿瘤标志物:CEA 0.37 pg/ml、AFP 0.89 pg/ml、CA199 4.2μ/ml、CA153 7.9μ/
Female patient, 39 years old. There is no obvious incentive to appear more than 1 year of upper abdominal pain, after eating obvious, with a sense of fullness, nearly 2 days aggravated, and with dizziness, fatigue, stool was black and thin. Physical examination: The general situation can be, superficial lymph nodes did not enlarge, the skin without yellow dye, cardiopulmonary (-), pale conjunctival bed, the whole belly flat, gastrointestinal type, creeping (-), bowel sounds normal. Denied a similar family history and genetic history. Laboratory tests: Hemoglobin 86 g / L, fecal occult blood (+); Gastrointestinal tumor markers: CEA 0.37 pg / ml, AFP 0.89 pg / ml, CA199 4.2 μ / ml, CA153 7.9 μ /