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本文报告一例以便血、发烧为特征的原发性肠淋巴瘤而误诊为结肠癌的病例,引认为训.患者男,20岁,因“反复便血二十余日,持续发烧半月”于87年9月18日急诊收入院.无腹痛、腹泻.发病初便血量约300ml,稀水样呈暗红色,无明显粘液、粪便及里急后重感.发烧呈持续性(38～39℃),曾怀疑“伤寒”、“菌痢”给“氯霉素”等药治疗一周无明显疗效.四日前呕咖啡色物两口.体检:体温38.9℃,脉搏120次/分,血压118/76mmHg,贫血貌,浅表淋巴结和肝脾均未扪及.腹部软,无压痛,未触及包块。实验室检
This article reports a case of blood, fever as the characteristic of primary intestinal lymphoma misdiagnosed as colon cancer cases, referred to as training .Patient male, 20 years old, because of “repeated blood in the stool more than twenty days, continued fever half month” in 87 years September 18 emergency hospital. No abdominal pain, diarrhea. Early onset of blood in the amount of about 300ml, dilute water was dark red, no obvious mucus, feces and tenesmus heavy sense of fever was persistent (38 ~ 39 ℃), had doubts “Typhoid fever”, “bacillary dysentery” to “chloramphenicol” and other drugs for a week without significant effect .On four days ago vomit brown two physical examination: body temperature 38.9 ℃, pulse 120 beats / min, blood pressure 118 / 76mmHg, anemia appearance, shallow Table lymph nodes and liver and spleen are not palpable. Abdominal soft, no tenderness, not touched the mass. Laboratory test