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1病例介绍患者,男,77岁,因排便困难5个月、便血半月于2014-06-18入我科。自诉2个月前排便时肛门有异物脱出,可回纳。2年前发现结肠息肉,未行进一步诊治。体检:神志清楚,心肺正常,全腹柔软,无压痛,无反跳痛,全腹未触及包块,肝脾肋下未触及,移动性浊音阴性,肠鸣音正常,双下肢无明显水肿。入院后查血常规:白细胞3.7×109/L。大便常规、电解质、肝肾功能均正常。胃镜示:慢性浅表性
1 case description The patient, male, 77 years old, due to defecation difficulties for 5 months, blood in the stool half months in 2014-06-18 into my department. Prostitution 2 months ago when the anus with foreign body prolapse, can be recalled. Two years ago found colon polyps, no further diagnosis and treatment. Physical examination: Consciousness, normal heart and lungs, full abdomen soft, no tenderness, no rebound tenderness, full abdomen untreated mass, untreated liver and spleen ribs, voiced negative mobility, normal bowel sounds, no obvious edema of both lower extremities. Check blood routine after admission: white blood cells 3.7 × 109 / L. Stool routine, electrolyte, liver and kidney function are normal. Gastroscopy shows: Chronic superficial