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一、点滴病史不容忽视 1 例胰腺癌的误诊: 患者男,58岁。于10月前出现上腹部持续隐痛,尤以夜间为甚,伴反酸、嗳气。未行诊治。7月后因头昏,皮肤、巩膜发黄而就诊。查血黄疸指数28单位。诊断为“急性肝炎”,行中药、输液治疗1月后,皮肤黄染消退,黄疸指数恢复正常,仍述上腹部疼痛。每日2～5次黑色稀大便,隐血试验(++++),血红蛋白由8g％下降为3.5g％。以上消化道出血待查收住院。查体:慢性消瘦重度贫血貌,皮肤、巩膜无黄染,浅表淋巴结不肿大。心肺正常。上腹部有深压痛,
First, bit by bit history can not be ignored 1 case of misdiagnosis of pancreatic cancer: male patient, 58 years old. Occurred in the upper abdomen in October continued pain, especially at night even with acid reflux, belching. Not diagnosed. July due to dizziness, skin, sclera and yellow treatment. Check the blood jaundice index 28 units. Diagnosis of “acute hepatitis” line of traditional Chinese medicine, transfusion treatment of January, yellow skin faded, jaundice index returned to normal, still reported abdominal pain. 2 to 5 times daily black stools, occult blood test (++++), hemoglobin decreased from 8g% to 3.5g%. More gastrointestinal bleeding to be admitted to hospital. Physical examination: chronic thin severe anemia, skin, sclera no yellow dye, superficial lymph nodes not swollen. Cardiopulmonary normal. Upper abdomen has deep tenderness,