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海绵状血管瘤可发生于人体任何部位,婴儿和儿童常好发于皮肤,很少发生血液学异常。肝良性肿瘤比较多见的为海绵状血管瘤,肝海绵状血管瘤多见于中年患者,可为单发或多发,体积小时无任何症状,增大后主要表现为肝脏肿大或压迫胃肠等邻近器官,引起腹痛、腹胀、食少、恶心、呕吐等症。如肿瘤破裂,则出现失血性休克和急腹症表现。本病可致门脉高压而并发上消化道出血。 患者,男,24岁,河北省人。主因上腹痛7天收住院。一年前曾发现腹壁有大小不等的静脉曲张团块。既往无肝炎史,无烟酒嗜好。查体:皮肤巩膜无黄染,前胸及上腹部可见上行性静脉曲张。肝剑下6cm,表面光滑,质地较硬,边缘钝。脾未及。实验室检查:血常规、血
Cavernous hemangiomas can occur in any part of the human body. Babies and children often develop on the skin and rarely develop hematologic abnormalities. Hepatic benign tumors are more common as cavernous hemangiomas, hepatic cavernous hemangiomas are more common in middle-aged patients, may be single or multiple, the volume is small without any symptoms, after the increase is mainly manifested as liver enlargement or oppression gastrointestinal Such as adjacent organs, causing abdominal pain, abdominal distension, eat less, nausea, vomiting embolism. If the tumor ruptures, hemorrhagic shock and acute abdomen symptoms appear. The disease can cause portal hypertension and concurrent upper gastrointestinal bleeding. Patient, male, 24 years old, from Hebei Province. The main reason for upper abdominal pain was hospitalized for 7 days. A year ago, it was found that there were varicose veins of different sizes on the abdominal wall. No previous history of hepatitis, no alcohol and tobacco habits. Physical examination: There was no yellow staining of the skin sclera, and ascending varicose veins were seen in the anterior chest and upper abdomen. 6cm under the sword, smooth surface, hard texture, blunt edges. Spleen is not. Laboratory tests: blood, blood