20例肝脏恶性肿瘤临床症状及实验室检查研究.docVIP

20例肝脏恶性肿瘤临床症状及实验室检查研究[摘要] 目的:分析20例肝脏恶性肿瘤患者的临床症状及其实验室检查结果。方法:收集本院2009年8～12月20例肝脏恶性肿瘤患者的临床资料,调查分析患者的临床症状、体征、血常规、肝功能、心电图、B超、CT及病理类型。结果:20例患者年龄为35～77岁(中位年龄为55岁);皆有纳差、偶有恶心、呕吐症状,并有乏力症状;其中10例体质消瘦,7例可以触及肿大的肝脏或硬质包块。血常规基本正常,6例肝功能异常,9例甲胎蛋白(AFP)显著升高,5例心电图异常,8例肝脏实质性占位,12例原发性肝细胞癌,单发9例,多发(或多中心)3例,最大病灶12.0 cm×16.6 cm,最小病灶5.0 cm×7.2 cm。结论:AFP、医学影像学和病理的联合检查分析可以实现对肝癌的正确诊断。 [关键词] 肝脏恶性肿瘤;临床症状;实验室检查;分析 [中图分类号] R735.7 [文献标识码]A [文章编号]1674-4721(2010)03(c)-011-02 Clinical analysis on m alignant liver tumor symptoms and lab examinations in 20 cases BAI Xuefeng,TAN Shanjuan,WU Yongjun* (College of Public Health,Zhengzhou University,Zhengzhou 450001, China) [Abstract] Objective: To investigate m alignant liver tumor symptoms and lab examinations in 20 cases. Methods: The data of 20 cases with m alignant liver tumor were collected from August to December 2009.Their clinical symptoms,physical sign, abnormal blood,liver function, electrocardiogram, B-type ultrasonic inspection, CT and pathologic type were investigated and analyzed. Results: Twenty patients of m alignant liver tumor with anorexia,and sick,tired symptoms were from 35 to 77 years old(median age 55 years).Among the twenty patients,the clinical significances of peripheral hemogram were basically normal. But 10 had physical emaciation, 7 with hard masses, 6 with abnormal liver function, 9 with high level of AFP, 5 with abnormal electrocardiogram, 12 with hepatocellular carcinoma, the most focus with 12.0 cm×16.6 cm, the least focus with 5.0 cm×7.2 cm. Conclusion: Combination of AFP, medical imaging and pathologic inspections can be used for the diagnosis of hepatocellular carcinoma. [Key words] M alignant liver tumor; Clinical symptom; Lab examination; Analysis 肝脏恶性肿瘤包括肝脏自身恶性肿瘤和转移性肝脏肿瘤,原发性肝癌在我国是最常见的恶性肿瘤之一,其发病近年来有逐渐上升的趋势,目前在我国的恶性肿瘤发病中居第二位。为了探讨肝脏恶性肿瘤患者的临床特征以及血清学指标的异常,本文对本院2009年经确诊的患者20例的临床症状及其实验室检查指标进行回顾性分析,报道如下: 1 资料与方法 1.1 一般资料 2009年8～12月,采集本科室住院的肝脏恶性肿瘤患者20例,其中,男14例,女6例;年龄35～77岁,中位年龄为55岁;在既往病史中,冠心病史5年以上者