论文部分内容阅读
患者,女,19岁。因大便变细、伴血便四月而于1982年4月10日入院(住院号31814)。病人于四月前开始大便时表面带血,,间有脓性粘液,渐有便意频繁,粪便变细,排便困难,同时伴下腹隐痛。发病后日见消瘦、乏力、头晕、纳差。二年前排便时肛门部常有肿物脱出,分别于1981年1月与3月在当地医院手术切除。体检:体温37.5℃,脉搏110,血压110/70。两侧腹股沟淋巴结不肿大。胸膝卧位肛门指诊距肛门口3cm处直肠后壁可触及一菜花状肿物,未能触到上极。肿物质硬,表面不平,活动度差,指套染血。经直肠镜下
Patient, female, 19 years old. He was admitted to hospital on April 10, 1982 due to thin stools and associated blood in April (Hospital No. 31814). The patient started to have blood on the surface of the stool before April, with purulent mucus, frequent feces, frequent feces, difficulty in defecation and abdominal pain. After the onset of weight loss, fatigue, dizziness, and anorexia. During the bowel movements two years ago, tumors often developed in the anus and were removed surgically in local hospitals in January and March 1981. Physical examination: body temperature 37.5°C, pulse 110, blood pressure 110/70. Both inguinal lymph nodes are not swollen. Chest and knee supine refers to a cauliflower-like mass on the posterior wall of the rectum 3 cm away from the anal canal and fails to reach the upper pole. The swelling is hard, the surface is uneven, and the activity is poor. Under the proctoscope