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我院自1992年6月至1994年7月收治卵巢癌3例,均误诊为结核性腹膜炎,现就误诊情况报告如下。 例1:女性,22岁。因腹胀、纳差、消瘦、潮热、盗汗2月,在外院诊断为“结核性腹膜炎”,抗痨治疗半月无效而转我院。入院检查;T38℃,消瘦貌,全身浅表淋巴结不肿大,心肺听诊正常,肝脾肋下未及,腹膨隆,腹壁有柔韧感,腹水征阳性,全腹未及肿块。血常规检查:Hb80g/L,WBC12×10~9/L,N0.80,L0.20.肝、肾功能正常。血沉3mm/h.腹水外观黄色、混浊,Rivalta反应阳性,WBC21×10~9/L,N0.82,L0.18,比重1.019,未找到抗酸杆菌。胸片未见异常。B超提示大量腹水,子宫、
Our hospital from June 1992 to July 1994 3 cases of ovarian cancer, were misdiagnosed as tuberculous peritonitis, is now misdiagnosed as follows. Example 1: Female, 22 years old. Due to abdominal distension, anorexia, weight loss, hot flashes, night sweats in February, diagnosed as “tuberculous peritonitis” outside the hospital, anti-tuberculosis treatment was invalid and transferred to our hospital. Admission examination; T38 ℃, emaciation, systemic superficial lymph nodes is not enlarged, auscultation of normal heart and lung, liver and spleen subequality, abdominal bulging, abdominal wall has a sense of tenderness, positive ascites sign, the whole abdomen and mass. Blood tests: Hb80g / L, WBC12 × 10 ~ 9 / L, N0.80, L0.20. Liver and kidney function is normal. ESR 3mm / h. Ascites appearance of yellow, cloudy, Rivalta reaction was positive, WBC21 × 10 ~ 9 / L, N0.82, L0.18, the proportion of 1.019, did not find acid-fast bacilli. No abnormal chest X-ray. B-prompt large amounts of ascites, uterus,