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由于寿命延长,老年直肠癌日渐增多,常因合并其它疾病,延误诊治。我院自1979～1984年共收治74例老年直肠癌,其中57例误诊为其它疾病,误诊率达77%,本文就误诊的可能因素作一分析与讨论。临床资料一、性别和年龄:男51例,女23例,男女之比为2.2:1,年龄为60～80岁,其中70岁以上者17例,占23%。二、病程:自发病到就医时间6个月以内者13例,占17.6%,12个月以内者50例,占67.6%,最长者10年,最短者15天,有2/3患者误诊半年以上。三、临床症状和体征:血便及粘液血便
Due to prolonged life expectancy, the number of elderly rectal cancers is increasing day by day, often due to merger of other diseases, delay in diagnosis and treatment. In our hospital from 1979 to 1984, a total of 74 elderly patients with rectal cancer were treated. Among them, 57 were misdiagnosed as other diseases. The misdiagnosis rate was 77%. This article analyzed and discussed the possible causes of misdiagnosis. Clinical data 1. Sex and age: 51 males and 23 females. The ratio of males and females was 2.2:1. The age ranged from 60 to 80 years, of whom 17 were over the age of 70, accounting for 23%. Second, the course of the disease: from the onset of illness to medical treatment within 6 months of 13 cases, accounting for 17.6%, within 12 months of 50 cases, accounting for 67.6%, the longest 10 years, the shortest 15 days, 2/3 patients misdiagnosed More than six months. Third, clinical symptoms and signs: bloody stools and mucous blood