论文部分内容阅读
患者:女,32岁。发现脐旁肿物3个月,渐增大,偶感腹部隐痛。体检:16/11kPa,P82次。巩膜、皮肤无黄染,浅表淋巴结不肿大。腹平软;脐旁偏左可扪及约拳头大小肿物,质硬,轻压痛,活动度好,腹部X线检查和B超检查均报告为肠系膜肿瘤。在硬膜外麻醉下行剖腹探查术,术中见小肠系膜根部及腹主动脉左侧有-15×15×8cm大小灰白色肿物,其基底部为一长约4cm蒂带,肿瘤质硬,表面欠光滑,包膜完整,与周围组织无粘连。在术中钳夹肿瘤蒂部时患者出现烦躁不安,呼吸急促、
Patient: Female, 32 years old. The umbilical masses were found for 3 months and gradually increased, and the abdominal pain was even felt. Physical examination: 16/11kPa, P82 times. The sclera and skin are yellow-stained and the superficial lymph nodes are not swollen. Abdomen soft; near the umbilical can be left and right fist about the size of the fist mass, hard, light tenderness, good activity, abdominal X-ray examination and B-ultrasound were reported as mesenteric tumors. During laparotomy under epidural anesthesia, there was a white mass of -15 × 15 × 8 cm on the left side of the small mesenteric root and abdominal aorta. The base of the tumor was a pedicle with a length of about 4 cm, and the tumor was hard. The surface is less smooth, the capsule is complete, and there is no adhesion to the surrounding tissue. The patient had irritability and shortness of breath during clamping of the tumor pedicle during surgery.