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患者男,55岁。因“腹痛伴鲜血便1个月余,加重1周”入院。体检:除下腹陈旧性手术瘢痕和压之不适感外,其他无异常。血常规(-),大便隐血试验(+)。尿常规:酮体(++)。生化电解质:(-)。多项肿瘤标志物:(-)。C-反应蛋白6.4 mg/l。凝血功能正常。肝炎指标:三对半(-)。腹部平片:右中腹较多肠气和积粪。64层螺旋CT二期增强
Male patient, 55 years old. Because of abdominal pain with blood more than 1 month, aggravating 1 week "admission. Physical examination: In addition to the lower abdomen old surgical scar and the pressure of the discomfort, the other without exception. Blood routine (-), fecal occult blood test (+). Urine routine: ketone body (++). Biochemical electrolyte: (-). Multiple tumor markers: (-). C-reactive protein 6.4 mg / l. Coagulation normal. Hepatitis indicators: three and a half (-). Abdominal plain film: the right upper quadrant more intestinal gas and manure. 64-slice spiral CT second-phase enhancement