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我院近年来收治经手术和病理证实的大肠癌271例,其中23例结肠癌以急腹症表现而误诊,误诊率8.5%,现报告如下:1 临床资料本组男17例,女6例.年龄31～81岁,平均年龄62.2岁.60岁以上15例占82.6%.全部病例有不同程度腹痛,11例有便秘和腹泻交替,9例有大便性状改变,9例有乏力和明显消瘦.实验室检查:血红蛋白64～100 g/L.病程4.2小时～17月,发病至就诊时间4.2小时～5天.入院诊断:急性肠梗阻12例,急性阑尾炎2例,腹痛待查7例,下消化道出血2例.治疗:本组病人入院后行急诊剖腹探查术,一期根治术8例,姑息性
In recent years, our hospital has treated 271 cases of colorectal cancer confirmed by surgery and pathology, of which 23 cases of colorectal cancer misdiagnosed with acute abdomen disease, misdiagnosis rate of 8.5%, are reported as follows: 1 clinical data in this group of 17 males and 6 females Age 31-81 years old, average age 62.2 years old. Above 60 years old 15 cases accounted for 82.6%. All cases have abdominal pain at different degrees, 11 cases have alternating constipation and diarrhea, 9 cases have changes in stool characteristics, 9 cases have fatigue and marked weight loss. Laboratory tests: hemoglobin 64 ~ 100 g / L. Duration of 4.2 hours to 17 months, onset to treatment time 4.2 hours to 5 days. Admission diagnosis: 12 cases of acute intestinal obstruction, acute appendicitis in 2 cases, 7 cases of abdominal pain to be investigated, Lower gastrointestinal bleeding in 2 cases. Treatment: This group of patients undergoing emergency laparotomy after admission, 8 cases of primary radical resection, palliative