结肠类癌 MSCT 增强表现一例
Radiologic Practice(2014)
Abstract
病例资料患者,男,63岁。上腹部胀痛4个月余入院。患者于4个月前无明显诱因突起上腹部疼痛,为持续性发作胀痛,阵发性加剧,不向他处放射,肛门排气后胀痛有所减轻,伴恶心,偶有呕吐,呕吐胃内容物;伴腹泻,解黄色稀水样大便,一天数次;伴乏力、纳差;无血便、黑便。起病后曾在当地医院住院治疗,效果不佳,遂来我院就诊,门诊以腹痛待查收入院。病后体重明显减轻。既往有多年的饮酒、吸烟史。体格检查:T 36.8℃,P 78次/分,R 20次/分,Bp 90/60 mmHg。急性痛苦面容,腹饱满,未见肠形及蠕动波;腹软,未触及包块,上腹部深压痛,无反跳痛。
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