结肠恶性淋巴瘤临床上比较少见,并发急性多处穿孔十分罕见。我科曾收治1例,现报告如下。患者男性,18岁,因间歇性腹痛1年余,近二天加剧,近一周大便呈黑色,于1989年12月4日急症入院。体检:慢性消瘦重病容,浅表淋巴结不肿大。双肺呼吸音增粗,可闻少许啰音。心率70次/分,律齐,未闻明显病理杂音。腹稍胀,腹肌紧张,全腹压痛及反跳痛,肝脾扪诊不满意。移动性浊音阳性,肝浊音界消失。肠呜音减弱。肛查未发现异常。Hb 83 g/L,WBC 3.4×10~9/L,N 0.60,L 0.40。尿常规正常。B 超示肝、脾正常,右下 Clinically, malignant lymphomas of the colon are rare, and acute multi-perforation is rare. Our department has received 1 case and the report is as follows. The patient, male, 18 years old, had intermittent abdominal pain for more than a year and was aggravated in the last two days. The stool was black in the past week and was admitted to hospital on December 4, 1989. Physical examination: chronic weight loss, superficial lymph nodes are not swollen. Breathing sounds thickened in the lungs, and a little buzzing can be heard. The heart rate was 70 beats per minute, and there was no evidence of significant pathological murmurs. Little abdominal swelling, abdominal muscle tension, abdominal tenderness and rebound tenderness, liver and splenomegaly unsatisfactory. Positive shifting dullness, disappearance of liver dullness. The bowel tone weakened. No abnormalities were found in the anal examination. Hb 83 g/L, WBC 3.4×10~9/L, N 0.60, L 0.40. Normal urine is normal. B super normal liver and spleen, right lower