论文部分内容阅读
以腹泻为首发症状就诊最后确诊为消化道肿瘤,临床上并非少见,对其病因常易误诊.本文就我院1986～1992年误诊的32例作一回顾性分析.1 临床资料本组32例中男23例,女9例.年龄19～78岁,其中50岁以上17例.最后确诊结肠癌16例,直肠癌9例,原发性胃肠道恶性淋巴瘤3例,恶性组织细胞增生症1例,回肠腺癌样息肉1例,空肠平滑肌瘤2例.误诊时间:6～30月,平均8.3月.在误诊阶段有9例曾做过全消化道钡餐造影,5例钡剂灌肠,3例结肠镜检查.32例中误诊为慢性结肠炎12例,慢.
Diarrhea as the first symptom is the last diagnosis of gastrointestinal cancer. It is not rare in clinical practice. The etiology of this disease is often misdiagnosed. This article makes a retrospective analysis of 32 cases misdiagnosed in our hospital from 1986 to 1992.1 Clinical data in this group of 32 cases There were 23 males and 9 females, aged 19 to 78 years old, of which 17 were over 50 years old. The final diagnosis was colon cancer in 16 cases, rectal cancer in 9 cases, primary gastrointestinal malignant lymphoma in 3 cases, and malignant histiocytosis. 1 case, 1 case of ileal adenocarcinoma-like polyps, 2 cases of jejunum leiomyoma. Misdiagnosis time: 6 to 30 months, an average of 8.3 months. In the stage of misdiagnosis, 9 cases had had complete barium meal gastrointestinal imaging, 5 cases of expectorants Enema, 3 cases of colonoscopy. 32 cases were misdiagnosed as chronic colitis in 12 cases, slow.