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小肠肿瘤出血少见,易误诊。我院1989年10月~1994年9月间收治经手术、病理证实的小肠肿瘤并急性消化道大出血9例,现报告如下。 1 临床资料 1.1 一般资料:本组9例,占同期收治的急性消化道大出血466例的1.93%。其中男6例,女3例,年龄最小37岁,最大70岁,平均51岁。 1.2 肿瘤部位及病理:①空肠平滑肌瘤4例,分别距屈氏韧带40、60、100、150cm,肿瘤大小分别为6×4×3cm、5×4×2cm、7×4×3cm、6×5×3cm,突入肠腔内,表面光滑,有糜烂、浅溃疡及渗血。②空肠未分化腺癌2例,距屈氏韧带分别为:10cm和100cm,直径分别为8cm和12cm,不规则类圆形实质
Intestinal tumors are rare and often misdiagnosed. In our hospital from October 1989 to September 1994, 9 cases of small bowel tumors and severe acute gastrointestinal bleeding confirmed by surgery and pathology were treated as follows. 1 Clinical data 1.1 General information: 9 patients in this group accounted for 1.93% of 466 patients with acute gastrointestinal bleeding treated during the same period. Among them, there were 6 males and 3 females, the youngest being 37 years old and the largest being 70 years old, with an average of 51 years old. 1.2 Tumor site and pathology: 1 Jejunal leiomyoma in 4 cases, 40, 60, 100, and 150 cm from the flexor ligament. The size of the tumor was 6×4×3 cm, 5×4×2 cm, 7×4×3 cm, 6 respectively. ×5×3cm, protruding into the lumen of the intestine, smooth surface, with erosion, shallow ulcers and bleeding. 2 Jejunal undifferentiated adenocarcinoma in 2 cases, from the flexor ligament were: 10cm and 100cm, the diameter was 8cm and 12cm, irregular round solid