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近五年我科因胰癌行手术探查109例,作胰癌切除术24例,其中胰体尾部9例。现选择主诉和临床表现各异的4例,作报道和讨论。1 临床资料 例1:男,60岁。主诉间歇性黑便、呕血1次入院。胃镜示胃底静脉曲张伴出血。B超检查肝未见异常,脾肿大为正常2倍。CT检查见胰体尾部疑有占位,性质待定。体检:消瘦、贫血貌、慢性病容、肝脾未扪及、腹无肿块、腹水征(一)。拟诊
In the past five years, our department had 109 cases of pancreatic cancer underwent surgical exploration and 24 cases of pancreatic cancer resection, of which 9 cases were pancreatic body tail. Now choose the main complaint and clinical manifestations of four different cases for reporting and discussion. 1 clinical data example 1: male, 60 years old. Chief complaint intermittent melena, hematemesis 1 admission. Gastroscopy showed gastric varices with bleeding. B ultrasound examination of the liver no abnormalities, splenomegaly normal 2 times. CT examination of pancreatic body see the rear suspected occupancy, nature to be determined. Physical examination: weight loss, anemia appearance, chronic disease, liver and spleen not palpable abdominal mass, signs of ascites (a). To be diagnosed