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病历摘要患者,男,19岁,右大腿痛两月余.两月前因摔伤、推车和爬山过累,曾发生大腿下部肿痛,不敢活动.当时 X 线检查未见异常.创伤后除局部肿痛、活动受限外,未发热,无其他不适.开始曾按抗炎治疗半月,但肿痛不消失.后经休息和中药烫洗(45℃左右),肿胀渐消,疼痛减轻,活动已不受限.创伤后25天经外院 X 线检查,拟诊为尤文氏肉瘤.检查:局部皮肤正常,不肿胀,大腿下1/3内侧深部可触及鹅蛋大的肿块,边缘不清,轻度压痛.穿刺肿块曾抽出
Medical record summary The patient, male, 19 years old, suffered pain in the right thigh for more than two months. Two months ago, due to falls, carts and mountain climbing, there was swelling and pain in the lower part of the thigh and he was afraid to move. At that time, no abnormalities were found on the X-ray. In addition to partial swelling and pain, activity is limited, no fever, no other discomfort. Started with anti-inflammatory treatment for half a month, but the swelling does not disappear. After rest and traditional Chinese medicine hot wash (around 45 °C), swelling disappears, pain Reduction, activities are not limited. X-ray examination by the external hospital after 25 days of trauma, to be diagnosed as Ewing’s sarcoma. Inspection: local skin is normal, non-swelling, deep inside the lower leg 1/3 can touch large goose egg lumps, edge Unclear, mild tenderness. Punctured lumps have been removed