作者调查了Mount Carmel Mercy医院和医学中心十年来84例诊断为恶性小肠肿瘤的病人。除外15例原发性良性肿瘤和30例由远处原发性肿瘤转移到小肠的肿瘤,本文就39例(46.6％)原发性小肠恶性肿瘤进行了分析。结果:年龄多数在50～60岁之间,有明显的种族差异:白人37例(90％),黑人2例。症状存在的时间从4天到2年(平均2个月)。腹疼和体重下降是最明显的两个症状。有腹痛者35例(89.7％),体重下降6～20磅者30例。在48.7％的病人中,最早期的症状是腹痛和腹胀。体检发现小肠梗阻有29例(74.3％),触到肿块者9例,腹部X线检查显示肠梗阻者26例,钡灌肠检查迴盲部梗阻者8例。术前诊断怀疑为小肠恶性肿瘤者27例,全部做了剖腹探查术并经病理检查证实。做根治性手术的25例,14例做了枯息性切除或短路手术。 The authors investigated 84 patients diagnosed with malignant intestinal tumors in Mount Carmel Mercy Hospital and Medical Center in the past decade. Except for 15 cases of primary benign tumors and 30 cases of tumors metastasized from the distant primary tumors to the small intestine, 39 cases (46.6%) of primary malignant tumors of the small intestine were analyzed. Results: Most of the ages were between 50 and 60 years old, and there were obvious ethnic differences: 37 whites (90%) and 2 blacks. Symptoms exist from 4 days to 2 years (average 2 months). Abdominal pain and weight loss are the two most obvious symptoms. There were 35 patients with abdominal pain (89.7%) and 30 patients with weight loss of 6-20 pounds. In 48.7% of patients, the earliest symptoms were abdominal pain and bloating. On physical examination, there were 29 cases (74.3%) of small bowel obstruction, 9 cases of lumps were touched, abdominal X-ray examination showed 26 cases of intestinal obstruction, barium enema examination ileocecal obstruction in 8 cases. Preoperative diagnosis of 27 cases of suspected small intestinal malignancies, all done laparotomy and confirmed by pathological examination. Of the 25 patients who underwent radical surgery, 14 patients underwent ablation or short-circuit surgery.