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原发性十二指肠癌甚少见,现将我院近三年来发现的2例报告如下。例1,女性,64岁。一年来常感右肩部酸痛,入院的一月余伴有畏寒、发热,夜间不能入睡,且厌油,恶心,无呕吐,巩膜黄染,小便深黄,无柏油样及陶土样大便。黄疸指数18u,r-GJ510-1000u,SGPT 64-71u,SGOT 105u,A/G为3.4/2.4,AKP 100u,B型超声波检查提示胆囊肿大,胆总管扩张1.5cm。以阻塞性黄疸,胆囊炎,胆石症而入院。体检呈慢性病容,皮肤明显黄染,肺(-),P100,律齐,心尖区Ⅱ-Ⅲ级SM,腹平软,无压痛,肝肋下刚及,剑突下4.5cm,质软,无压痛,莫非氏征(-),脾
Primary duodenal cancer is rarely seen. Two cases that have been discovered in our hospital in the past three years are reported below. Example 1, female, 64 years old. I often felt sore in the right shoulder during the past year. I was accompanied by chills and fever for more than a month after admission. I was unable to sleep at night. I was tired of oil, nausea, no vomiting, yellow sclera, dark yellow urine, and no tar and clay-like stools. Astragalus index 18u, r-GJ510-1000u, SGPT 64-71u, SGOT 105u, A/G 3.4/2.4, AKP 100u, type B ultrasound examination revealed gallbladder enlargement, common bile duct dilatation 1.5cm. Obstructive jaundice, cholecystitis, and cholelithiasis were admitted to the hospital. Physical examination showed chronic disease, yellow skin, lungs (-), P100, regularity, apical II-III SM, abdomen soft, no tenderness, liver just below the ribs, xiphoid 4.5 cm, soft, No tenderness, ruthless sign (-), spleen