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原发性小肠恶性肿瘤诊治1例

Journal of Binzhou Medical University(2019)

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Abstract
1 病例资料 患者,女, 81 岁,因"间歇性腹痛2 周,加重1周"于某院就诊.患者自诉腹部间歇性疼痛,阵发性加重;伴腹胀、排便不畅,近1个月体重下降约7. 5 kg;查体:老年女性,痛苦面容.心肺查体未见明显异常.腹部未见胃肠型及蠕动波,未触及腹部肿块,上腹部有压痛,肠鸣音活跃,约7次/分,移动性浊音阴性.完善相关检验检查:血常规:红细胞3.7 ×109/L,白细胞4.7 ×109/L,血红蛋白93 g/L,中性粒细胞绝对值2.8 ×109/L;大便潜血弱阳性;余检验均未见明显异常.腹部平片提示腹部部分肠管积气;腹腔动静脉超声未见异常.胃镜未发现病变.
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