论文部分内容阅读
1临床资料患者,男性,50岁,因“反复腹痛、腹胀6个月,加重伴消瘦3个月”于2013年4月21日入我院胃结直肠肛门外科就诊。体检:腹部平坦,未见异常搏动。剑突下扪及一包块,大小约10 cm×9 cm×5 cm,边界不清,活动度欠佳,压痛,余腹无压痛,无反跳痛及肌紧张。叩诊呈鼓音,无移动性浊音,肠鸣音4/min。4月26日行上腹部MRI检查示:胰头部一类椭圆形软
1 Clinical data Patients, men, 50 years old, because of “repeated abdominal pain, abdominal distension 6 months, aggravated with weight loss 3 months ” on April 21, 2013 into our hospital stomach and rectum anus surgery. Physical examination: flat abdomen, no abnormal beats. The xiphoid palpable mass, size of about 10 cm × 9 cm × 5 cm, the boundary is unclear, poor mobility, tenderness, abdominal pressure without pain, no rebound tenderness and muscle tension. Drum sound percussion, no dullness of movement, bowel sounds 4 / min. April 26 line abdomen MRI examination showed: a class of pancreatic head oval soft