海南省细粒棘球蚴病1例
发布时间:2018-03-07 06:00
本文选题:细粒棘球蚴病 切入点:左肝外叶 出处:《中国寄生虫学与寄生虫病杂志》2015年01期 论文类型:期刊论文
【摘要】:正患者,女,36岁,农民,原籍广东,于海南省海口市定居20余年。2014年5月,因肝区轻度疼痛1月余至中南大学湘雅医学院附属海口医院就诊。自发病以来,无畏寒发热,无恶心呕吐,无腹胀,未行任何治疗。入院查体,腹部平坦,全腹未扪及包块,肝脾肋下未扪及。腹部超声示:左肝外叶病灶,超声造影表现为慢进慢出型血流灌注,考虑良性肿瘤。CT检查示:左肝外叶占位伴钙化,考虑结核钙化或肝包囊虫钙化。临床诊断肝左外叶占位待查收住院。入院后,血常规及各项生化检查均正常,于5月22日行腹腔镜下肝肿物切除术,术中所见肝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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