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结肠癌为消化道常见的恶性肿瘤,部分患者以阑尾炎征候为临床表现。1986—1995年十年间,我院共收治阑尾炎约3966例。其中5例为右半结肠癌并存急性阑尾炎,术中发现3例,漏诊2例延误了治疗。本文通过对这5例病例的分析,讨论了右半结肠癌并存急性阑尾炎的原因及诊疗方法。 临床资料 本组5例,均为男性,年龄在45—68岁间。5例均有典型转移性右下腹痛,恶心。2例伴有腹胀、呕吐,停止排气排便;3例伴有腹泻、发热。腹部不适及
Colon cancer is a common malignancy of the digestive tract. Some patients have clinical signs of appendicitis. During the ten years from 1986 to 1995, a total of 3966 cases of appendicitis were treated in our hospital. Among them, 5 cases were acute right appendicitis and acute appendicitis. 3 cases were found during the operation and 2 cases were missed. This article through the analysis of these 5 cases, discusses the right colon cancer coexisting causes of acute appendicitis and treatment methods. Clinical data in this group of 5 cases, all male, aged 45-68 years old. Five patients had typical metastatic right lower abdominal pain and nausea. Two patients had bloating and vomiting and stopped defecation; 3 patients had diarrhea and fever. Abdominal discomfort and