论文部分内容阅读
患者杜××,女,65岁,工人,因右下腹隐胀痛伴肿块二月余,于1987年11月27日入院.检查:右侧腹可扪及1×13cm 肿块,表面光滑,质硬,略能话动.B 超为实质性不均的肿块。血型为 AB 型.诊断为右下腹肿块原因待查.12月9日行剖腹探查术,发现迥盲部11×12cm 肿块即行右半结肠切除术,术中及术后共输 AB 型全血1040毫升,无不良反应.切除标本病理报告为恶性淋巴瘤非何杰金氏病 B 小裂核细胞型(迥盲部)。12月23日行化疗 COM方案(CYT0.69,VCR 2mg,MTX20mg),一日注射.12月25日血象检查,Hb6g%,WBC4600,需输血,经多次反复检查,血型为 A 型,患者的红细胞与抗 A 血清和 O型血清均呈混合外观,与抗 B 血清呈阴性;而以患者的血清与 A,O 和自身红细胞反应均呈阴性,而与 B 型的红细
Patients Du × ×, female, 65 years old, workers, because of the right lower abdomen pain and mass swelling in February more than, admitted to hospital on November 27, 1987. Check: palpable right flank and 1 × 13cm mass, smooth surface, quality Hard, slightly able to move.B ultrasonography for the substantive uneven mass. Blood type is AB type .Diagnosis of the right lower quadrant tumor to be investigated .December 9th laparotomy and found that the Department of gross blind 11 × 12cm mass that is right colon resection, intraoperative and postoperative total transfusion of AB blood 1040 Ml, no adverse reactions.Explain the specimens pathology report for malignant lymphoma non-Hodgkin’s disease B-minipig cell type (JCD). December 23 chemotherapy program COM (CYT0.69, VCR 2mg, MTX20mg), on the 1st injection. December 25 blood test, Hb6g%, WBC4600, need blood transfusions, after repeated inspection, blood type A, patients Of red blood cells and anti-A serum and O-type serum were mixed appearance, and anti-B serum was negative; and the patient’s serum and A, O and their own red blood cell reaction were negative, and B-type red