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直肠癌、结肠癌、慢性菌痢均为下消化道疾病。某些临床症状又颇为相似,稍有不慎,便易误诊,现将我院1987年以米所见的14例误诊病例原因分析如下。临床资料本组12例门诊病人,2例住院病人;男8例,女6例;年龄28～67岁,农民8例,工人4例,家庭妇女2例;误诊时间3个月～2年,其中6个月以下5例,6个月以上9例。本组病例均有不同程度的下腹隐痛,慢性腹泻及粘液血便。10例间断出现脓血便,11例有里急后重感。来本院确诊前就医4次者3例,5次者5例,6次以上者6例。在厂矿医院求医者4例,在乡镇、县医院求治者9例,在市级医院求医者1例。14例均未做过肛肠局部检查及粪便细菌培养,按慢性菌痢治疗皆无效果。 14例中有直肠癌11例,其癌肿距肛门2～12厘米,以肛门指诊配合直肠镜及病理切片确诊。结肠
Rectal cancer, colon cancer, chronic dysentery are lower gastrointestinal diseases. Some of the clinical symptoms are quite similar, a little careless, it is easy to misdiagnosis, now in our hospital in 1987 to m seen in 14 cases of misdiagnosed reasons are as follows. Clinical data The group of 12 outpatients, 2 cases of hospitalized patients; 8 males and 6 females; aged 28 to 67 years old, 8 peasants, 4 workers, 2 females; misdiagnosis time of 3 months to 2 years, Including 6 months following 5 cases, 6 months and 9 cases. This group of patients have varying degrees of abdominal pain, chronic diarrhea and mucus bloody stool. Pus and blood in 10 cases intermittent, 11 cases have tenesmus. Three patients were admitted to our hospital 4 times prior to the diagnosis, 5 in 5 cases and 6 in 6 cases. There were 4 cases seeking treatment in factories and mines hospitals, 9 cases seeking treatment in townships and county hospitals and 1 case seeking treatment in municipal hospitals. All 14 cases had not done anorectal examination and stool bacterial culture, according to chronic dysentery treatment have no effect. 14 cases of rectal cancer in 11 cases, the cancer from the anus 2 to 12 cm, anus with the diagnosis of colonoscopy and pathology. colon