论文部分内容阅读
患儿:女,13岁。因脐周隐痛2月,发现腹部包块3天入院。病后饮食尚好,二便正常,逐消瘦。月经未来潮。体检:发育正常,消瘦。心肺(-)。腹膨隆、中下腹部可扪及约30cm 直径的硬性肿块,表面光滑,活动度小。直肠指诊可扪及盆腔内巨大包块,质硬,可推移。术前常规检查均正常,血清 AFP>400 ng/L,铁蛋白>500 ug/L。B 超提示腹腔巨大混合性包块。X 线片示双肺阴性,中下腹巨大块影,中心有钙化斑及骨。
Children: Female, 13 years old. Due to umbilical pain in February, found abdominal mass 3 days admitted. After the illness is still good diet, two will be normal, by weight loss. Menstruation future tide. Physical examination: normal development, weight loss. Cardiopulmonary (-). Abdominal bulge, the lower abdomen palpable and about 30cm diameter hard mass, the surface is smooth, activity is small. Rectal referral palpable pelvic mass, hard, can be moved. Preoperative routine examination were normal, serum AFP> 400 ng / L, ferritin> 500 ug / L. B ultrasound prompts a huge mixed abdominal mass. X-ray showed lung negative, in the abdomen huge shadow, the center of calcified plaque and bone.