海南省細(xì)粒棘球蚴病1例
發(fā)布時(shí)間:2018-03-07 06:00
本文選題:細(xì)粒棘球蚴病 切入點(diǎn):左肝外葉 出處:《中國寄生蟲學(xué)與寄生蟲病雜志》2015年01期 論文類型:期刊論文
【摘要】:正患者,女,36歲,農(nóng)民,原籍廣東,于海南省海口市定居20余年。2014年5月,因肝區(qū)輕度疼痛1月余至中南大學(xué)湘雅醫(yī)學(xué)院附屬?卺t(yī)院就診。自發(fā)病以來,無畏寒發(fā)熱,無惡心嘔吐,無腹脹,未行任何治療。入院查體,腹部平坦,全腹未捫及包塊,肝脾肋下未捫及。腹部超聲示:左肝外葉病灶,超聲造影表現(xiàn)為慢進(jìn)慢出型血流灌注,考慮良性腫瘤。CT檢查示:左肝外葉占位伴鈣化,考慮結(jié)核鈣化或肝包囊蟲鈣化。臨床診斷肝左外葉占位待查收住院。入院后,血常規(guī)及各項(xiàng)生化檢查均正常,于5月22日行腹腔鏡下肝腫物切除術(shù),術(shù)中所見肝Ⅱ
[Abstract]:The patient was 36 years old, a farmer, from Guangdong Province, and settled in Haikou City, Hainan Province for more than 20 years. On May 2014, she went to Haikou Hospital affiliated to Xiangya Medical College of Central South University on January because of mild pain in the liver area. No nausea and vomiting, no abdominal distention, no treatment. Admission examination, flat abdomen, unpalpable mass of the whole abdomen, no palpation of the liver and spleen. Ct examination showed that the left extrahepatic lobe occupied with calcification, the tuberculous calcification or pericystic cysticercosis was considered. The clinical diagnosis of the left lateral hepatic lobe mass was to be checked and admitted to hospital. After admission, the blood routine and biochemical examination were normal. Laparoscopic hepatectomy was performed on May 22nd. Liver 鈪,
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