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目的 观察小肠非霍奇金淋巴瘤 (NHL)所致急腹症临床特点 ,以提高急腹症中少见病的诊疗水平。方法 对我院收治的 5例小肠非霍奇金淋巴瘤所致急腹症患者的临床资料进行回顾性分析。结果 5例患者都有误诊史 ,均因急腹症行手术探查 ,经病理确诊为NHL ,1例患者存活 3个月死亡。结论 小肠NHL临床表现缺乏特异性 ,发病率低 ,易被忽视 ,若患者有相应常见病的临床表现且经适当治疗经久不愈又有异常提示者 ,应尽早争取行病理检查以助诊断 ,对于有可疑临床表现的急诊病例 ,提倡放宽手术指征及手术范围 ;小肠NHL的治疗是以手术治疗为主的综合治疗
Objective To observe the clinical features of acute abdominal disease caused by small intestine non-Hodgkin’s lymphoma (NHL) in order to improve the diagnosis and treatment of rare diseases in acute abdomen. Methods The clinical data of 5 cases of acute abdominal disease caused by NHL in our hospital were analyzed retrospectively. Results All 5 patients had a history of misdiagnosis. They were all underwent surgical exploration for acute abdomen. The pathological diagnosis was NHL. One patient died for 3 months. Conclusions The clinical manifestations of small intestine NHL are lack of specificity, the incidence is low, and it is easy to be ignored. If the patient has the clinical manifestations of common diseases and is prolonged unhealed and there are abnormal prompts after proper treatment, it should try to seek pathological examination as soon as possible to help diagnosis. Suspicious clinical manifestations of emergency cases, to promote the relaxation of surgical indications and surgical range; small intestine NHL treatment is based on comprehensive treatment of surgical treatment