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患者女,48岁。因便血15d 入院。患者15d 前无明显诱因出现便中带血丝,渐加重,无腹痛、腹胀,无恶心,呕吐,于2005年7月14日来我院消化内镜中心行结肠镜检查:直肠、乙状结肠黏膜斑片状发红,伴水肿,毛细血管扩张(图1、2),进镜40cm 达降结肠,进镜阻力大,未见新生物,患者诉疼痛难忍,放弃进镜检查。诊断:放射性肠炎。患者13个月前因宫颈癌于我院行子宫全切术,术后连续行放疗术30余天,放疗期间无消化道不适主诉。家族中无相同疾病史者。
Female patient, 48 years old. Because of hematochezia 15d admission. Patients with no obvious incentive before 15d appeared in the bloodshot, gradually heavier, no abdominal pain, abdominal distension, no nausea, vomiting, to our hospital on July 14, 2005 endoscopy digestive endoscopy colonoscopy: rectal sigmoid colon mucosal plaque Like redness, with edema, telangiectasia (Figure 1,2), into the mirror 40cm down descending colon, into the mirror resistance, no new organisms, the patient complained of pain, to give up the mirror examination. Diagnosis: Radiation enteritis. Patients 13 months ago due to cervical cancer in our hospital hysterectomy, continuous postoperative radiotherapy for more than 30 days, during radiotherapy without complaints of gastrointestinal discomfort. No history of the same family history.