Objective To sum up the experience in the treatment of rectal carcinoma complicated with perforation of sigmoid colon. Methods The clinical date of 12 patients with rectal carcinoma complicated with perforation sigmoid colon admmited in our hospital in recent past 10years were analyzed retrospectively. Results Complication including infectious shock(11cases)before or after operation,ARDS(3cases). Infection of incision wound (10cases)among all cases. 5 patients died of infectious shock and MODS. Complication including five of infectious shock and MODS. Complication including five of witch for Hartmann and seven for closure of perfcration and sigle lunen sigmoidostomy. Conclsions Rational procedure for acute peritonitis is key to such diseases. Operation combined with individualized therapy should be taken as the principle of the lesion of rectal carcinoma.
目的 探讨十二指肠肿瘤的诊断及治疗.方法 回顾我院1984～2005年间收治29例PTD的临床资料进行分析.结果 良性肿瘤8例,恶性肿瘤21例.上腹部疼痛、消化道出血、呕吐、黄疸、消瘦、腹部包块等为本组病人的主要临床表现.术前十二指肠镜检查6例,均发现病灶.胃镜检查18例,9例发现病灶.B超检查20例,12例发现包块.十二指肠气钡双重造影7例,6例确诊.CT检查5例,4例确诊.全组病人均行手术治疗,术后随访6个月～21年.良性肿瘤均存活,恶性肿瘤死亡11例,2年内死亡10例,5年死亡1例,10例生存,最长1例20年.结论 上腹部疼痛、消化道出血、呕吐是十二指肠肿瘤的最常见症状.十二指肠镜、十二指肠气钡双重造影、胃镜检查是最主要的检查手段;手术切除肿瘤是最基本、最有效的治疗方法.
胃肠道癌误诊为结石性胆囊炎而施行胆囊切除术,究其原因有一定的特殊性.现将我院1995～1998年间收治4例分析如下.1临床资料本组4例,均男性,年龄54～72岁.除1例以肠梗阻表现入院外,均腹痛、腹胀、恶心就诊.B超发现胆囊结石而行胆囊切除术,2例术前胃镜无异常发现.术后20天到3月内临床症状不缓解而就诊,经胃镜、维十二指肠镜结合消化道x线造影,取病检证实胃癌2例,十二指肠降段癌1例,结肠癌1例
