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卵巢癌伴血淀粉酶升高一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pancreatology
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1674-1935.2018.06.005
- Key Word:
- No keyword available
Abstract： 患者女性,62岁. 因"反复腹痛3月,加重1月"入院. 3个月前无明显诱因感上腹部阵发性隐痛,夜间明显,与进食及体位改变无关,无恶心、呕吐. 1个月前因腹痛加重、向两侧肩部放射,伴恶心,于当地医院治疗,查淀粉酶663 U/L,胸腹盆增强CT示左侧附件区占位,与邻近子宫及肠管分界不清,腹膜、肠系膜、大网膜多发结节样强化,考虑恶性肿瘤伴转移. 胃镜示慢性胃炎. 予禁食、奥曲肽等对症治疗. 因淀粉酶仍高(835 U/L)转我院消化科就诊. 既往因"乳腺癌"行右乳全切术,术后化疗,因右髂静脉狭窄行支架植入术.入院体检:体温37.2℃,脉搏78次/min,呼吸18次/min,血压138/76 mmHg(1 mmHg=0.133 kPa),神志清,精神萎,慢性病容. 皮肤巩膜无黄染,全身浅淋巴结未肿大,心脏未闻及杂音,双肺呼吸音低,肺下界上移. 腹稍隆,中上腹和脐周深压痛,无反跳痛,无肌卫, Murphy 征( -) ,麦氏点无压痛,肝脾肋下未及,无叩击痛,未触包块,移动性浊音阴性.
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