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本文分析哈尔滨医科大学第二医院24年中经手术、病理检查证实的结肠癌110例,其中误诊者51例(46.3％),误诊病名共达16种,主要有肠梗阻、兰尾脓肿、肠结核、胃癌、消化性溃疡、胆石症、肝癌、特发性溃疡性结肠炎等等。对结肠癌临床误诊原因进行了探讨,认为40岁以上的男性病人,如果临床表现主要有腹痛、便血、腹部块物和肠梗阻等,则应考虑结肠癌的可能性,因此,必须作进一步检查。
This article analyzed 110 cases of colon cancer confirmed by surgery and pathological examination in the 24th year of the Second Hospital of Harbin Medical University. Among them, 51 cases (46.3%) were misdiagnosed and 16 misdiagnosis cases were diagnosed, mainly including intestinal obstruction, blue abscess, and intestine. Tuberculosis, gastric cancer, peptic ulcer, cholelithiasis, liver cancer, idiopathic ulcerative colitis, etc. The cause of clinical misdiagnosis of colon cancer was discussed. It was considered that men over the age of 40 must consider the possibility of colon cancer if their clinical manifestations mainly include abdominal pain, hematochezia, abdominal mass, and intestinal obstruction. Therefore, further examination is necessary. .