论文部分内容阅读
1983～1987年,我院收治“阑尾炎”2248例,经手术后病理检查发现阑尾原发性癌3例(占0.13％),现报道如下。例1.男,39岁。转移性右下腹痛1天伴恶心、呕吐1次,于1987年6月17日入院。查体:T37.5℃,P80次/分,右下腹压痛与反跳痛明显,娄夫辛氏征(+),WBC5.1×10~9/L,N698%,L28%。急诊行阑尾切除术,术中见阑尾为大网膜包裹,头部呈鼓锤状肿胀。病理报告为阑尾类癌。术后随访3年4个月,健康生存。例2.男,33岁。脐周阵痛1周,转移至右下腹痛1天,不发热、无呕吐,大小便正常。检查:
From 1983 to 1987, 2248 cases of “appendicitis” were treated in our hospital. Three cases of primary cancer of the appendix (0.13%) were found after surgery and were reported as follows. Example 1. Male, 39 years old. Metastatic right lower abdominal pain was associated with nausea and vomiting for 1 day and was admitted to hospital on June 17, 1987. Physical examination: T37.5°C, P80 beats/minute, tenderness and rebound tenderness in the right lower quadrant, obvious sign (+), WBC 5.1×10-9/L, N698%, L28%. The emergency department performed an appendectomy, and the appendix was covered with a large omentum and the head was blister-shaped. The pathology report was appendiceal carcinoid. Followed up for 3 years and 4 months after surgery, and survived well. Example 2. Male, 33 years old. Umbilical pain 1 week, transferred to the right lower abdominal pain for 1 day, no fever, no vomiting, normal urine. an examination: