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结肠癌并存急性阑尾炎临床上并不少见,右半结肠癌并存急性阑尾炎较多,我院自1988年1月至1996年10月共收治11例,现分析报道如下。 1 临床资料 1.1 一般资料:本组男8例,女3例。年龄32～59岁,平均年龄42岁。肿瘤部位:回盲部5例,升结肠3例,结肠肝曲2例,右侧横结肠1例。 1.2 临床表现:本组11例,均有典型转移性右下腹痛、腹泻,其中水样便6例,粘液便3例,血便2例。贫血、消瘦、乏力、体重减轻8例,畏寒发热3例,病程3～7天2例,2～4个月8例,6个月以上1例。因诊断为急性阑尾炎施行阑尾切除术中发现癌肿7例,急性阑尾炎行阑尾切除术后2～4个月再次
The clinical coexistence of colon cancer and acute appendicitis is not uncommon. Acute right appendicitis coexists in more patients with acute appendicitis. A total of 11 cases were treated in our hospital from January 1988 to October 1996. The analysis is reported below. 1 Clinical data 1.1 General information: This group of 8 males and 3 females. Age 32 to 59 years, mean age 42 years old. Tumor sites: 5 cases of ileocecal, 3 cases of ascending colon, 2 cases of colonic hepatic curvature, and 1 case of right lateral colon. 1.2 Clinical manifestations: In this group of 11 patients, there were typical metastatic right lower abdominal pain and diarrhea, including 6 cases of watery stools, 3 cases of mucus, and 2 cases of bloody stools. Anemia, weight loss, fatigue, weight loss in 8 cases, chills and fever in 3 cases, 3 to 7 days in 2 cases, 2 to 4 months in 8 cases, more than 6 months in 1 case. The diagnosis of acute appendicitis found 7 cases of cancer in appendectomy, acute appendicitis 2 to 4 months after appendectomy