论文部分内容阅读
例1 潘某,女,51岁,工人。胃病史十多年,近一年多次黑便,大便潜血阳性(++～+++)。钡餐X线检查有胃粘膜脱垂。经内科治疗无效,1977年3月12日入院手术治疗。术中见胃、十二指肠无明显异常;肝脏膈面近胆囊底部灰白色直径1cm肿块;距屈氏韧带8cm空肠壁上约1.5×2cm大小肿块;空肠系膜淋巴结肿大。术中切除部分空肠,切除胆囊,楔形切除肝脏肿块。病理诊断为空肠腺癌(溃疡型),浸润肠壁浆膜层,伴肠系膜淋巴结及肝脏转移。术后恢复顺利出院,16个月后因
Example 1 Panmou, female, 51 years old, worker. Gastrointestinal history for more than 10 years, black stools in recent years, fecal occult blood positive (++ ~ + + +). Barium meal X-ray examination has gastric mucosal prolapse. The medical treatment was ineffective and was admitted to hospital on March 12, 1977. During the operation, there were no obvious abnormalities in the stomach and duodenum; the liver surface was near the grayish-white 1cm lumps at the bottom of the gallbladder; the size of the jejunal wall was about 1.5 × 2cm in size from the 8cm triceps ligament; the mesenteric lymph nodes were enlarged. A portion of the jejunum was removed during surgery, the gallbladder was removed, and the hepatic mass was wedge-cut. The pathological diagnosis was jejunal adenocarcinoma (ulcer type), infiltration of serosa in the intestinal wall, and metastasis of mesenteric lymph nodes and liver. After the surgery, the hospital was discharged smoothly. After 16 months