报告3例结肠癌误诊病例,望引起注意。 例1,男,63岁。因乏力、厌食、腹胀20天入院,病后有不规则低热,大便干结,尿量少。T37℃,P80次/分,R20次/分,BP16/11kPa。皮肤粘膜无黄染及皮疹,浅表淋巴结不大,心肺听诊正常,腹部膨隆,揉面感不明显,左下腹轻压痛,未触及包块,肝脾未触及,腹水征(+),两下肢轻度压凹性水肿。入院后作上腹部CT检查,示大量腹水,肝、胆、脾、胰无异常。先后3次腹水常规示渗出液,未查到癌细胞。腹水癌胚抗原(CEA)<80μg/L,结核抗体阳性。胸片、泌尿 Reported cases of misdiagnosis of 3 cases of colon cancer may cause attention. Example 1, male, 63 years old. Due to fatigue, anorexia, and abdominal distension for 20 days, he was admitted to the hospital. After the illness, he had irregular fever, dry stools, and low urine output. T37°C, P80 beats/minute, R20 beats/minute, BP16/11kPa. No yellow skin and mucous membranes and rash, superficial lymph nodes, normal heart and lung auscultation, abdominal bulging, no sense of kneading dough, left lower abdomen light tenderness, no palpable mass, liver and spleen not touch, ascites sign (+), both lower extremities Mild embossed edema. After admission, an abdominal CT scan was performed to show that there was a large amount of ascites, and there were no abnormalities in the liver, gallbladder, spleen, and pancreas. Three times ascites routinely showed exudate and no cancer cells were detected. Ascites Carcinoembryonic antigen (CEA) < 80μg/L, tuberculosis antibody positive. Chest and urinary