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结、直肠癌是消化系统常见的恶性肿瘤之一。其消化道某些症状常与慢性痢疾相混淆。第四军医大学第一附属医院1971年至1981年3月共收治结、直肠癌208例,其中在确诊前于院外误诊为“痢疾”者68例,于院内误诊为“痢疾”者6例,共74例。本文就其误诊原因作如下分析讨论。临床资料分析1、性别和年龄分布本文74例中男性49例,女性25例,比例为1.96:1;40岁以上者47例,占63.5%;30～39岁者14例,占18.9%,30岁以下者13例,占17.6%,年龄最小者18岁。2、临床表现74例患者中,均有腹泻史与抗“痢疾”治疗经过。其腹泻症状持续时间长短不一,多数病例在1年半以内,共67例,占90.5%。从临床表现看,腹泻占100%。大便性状多为稀糊便,其中粘液便5例,占6.7%;粘液血便25例,占33.8%;脓血便44例,占59.5%;里急后重26例,占35.1%,伴有轻度腹痛者7例,占9.5%。
Colorectal cancer is one of the common malignant tumors in the digestive system. Some symptoms of the digestive tract are often confused with chronic dysentery. The First Affiliated Hospital of the Fourth Military Medical University received 208 cases of rectal cancer and rectal cancer from 1971 to March 1981. Among them, 68 cases were misdiagnosed as “diarrhea“ outside the hospital before diagnosis, and 6 cases were misdiagnosed as ”diarrhea" in the hospital. A total of 74 cases. This article analyzes and discusses the causes of misdiagnosis. Clinical data analysis 1. Sex and age distribution In this article 74 patients were males and 49 females, 25 females, the ratio was 1.96:1; 47 patients aged over 40 years accounted for 63.5%; 14 patients aged 30 to 39 accounted for 18.9%. Thirteen patients under the age of 30 account for 17.6%, and the youngest are 18 years old. 2. Clinical manifestations 74 patients had history of diarrhea and treatment of dysentery. The duration of diarrhea symptoms varies, most cases in less than one and a half years, a total of 67 cases, accounting for 90.5%. From the clinical manifestations, diarrhea accounted for 100%. The stool traits were mostly paste, including 5 cases of mucus, accounting for 6.7%; 25 cases of mucoblast, accounting for 33.8%; 44 cases of pus and blood, accounting for 59.5%; 26 cases of acute urgency, accounting for 35.1%, with mild abdominal pain 7 cases, accounting for 9.5%.