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患者女性,58岁,因“排柏油样便10余d,伴意识丧失1 d”收住院。辅助检查血红蛋白88 g/L;血尿素8.0 mmol/L;急诊胃镜:十二指肠球降交界处可见一粗蒂息肉,长约3~4 cm,头端约1.5 cm,表面分叶,似见一凹陷,未见活动性出血(图1);腹部增强CT:十二指肠降段局部管壁增厚。超声内镜:息肉根部有低回声,头端为中等回声。
Female patient, 58 years old, due to “Asphalted like it more than 10 d, with loss of consciousness 1 d ” admitted to hospital. Auxiliary examination of hemoglobin 88 g / L; blood urea 8.0 mmol / L; emergency gastroscopy: duodenal junction at the junction of a rough pedunculated polygons, about 3 ~ 4 cm, the tip of about 1.5 cm, surface leaves, See a depression, no active bleeding (Figure 1); abdominal enhanced CT: descending duodenal local wall thickening. Ultrasound endoscopy: polyps root hypoechoic, the first end of the medium echo.