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杭州大伯常年不体检 误将便血当痔疮拖成肠癌晚期

2017-08-17 15:51:38   央广网

浙江在线8月17日讯(浙江在线记者 唐梦霞 通讯员 张颖颖)便血可不是小事。除了痔疮之外,成年人便血,还可能是因为肛瘘、肛裂、肠息肉、肠癌、炎症性肠病等引起。杭州徐大伯自认为身体健康,一直把便后出血当是痔疮,结果把肠癌延误到全身多处转移。

徐大伯69岁,是一名退休职员,性格开朗。因家中无牵挂,喜爱旅游,登山下海,足迹遍布国内外。一年前觉得云南空气、环境宜人,就在云南住了一年。平时不沾烟酒,从不大鱼大肉,饮食、生活非常规律,还常服保健品加以保养。因今年准备去西藏深度游,在家人的再三督促下到杭州市第一人民医院做全面体检。

详细询问之下,徐大伯除了有些痔疮偶有便血之外,无任何疾病,他对自己的健康很有信心,所以已经好几年没做体检了,自觉没这个必要。徐大伯说话声如洪钟,非常健谈,体检中心的几位医务人员对他留下了印象。

可体检发现,他"大便潜血+,癌胚抗原显著升高",此外还发现B超"肝内多发占位性病变"。这些太令人惊讶了,必须马上做进一步详细检查。徐大伯自我感觉超好,怎么也不相信有病。体检中心医生安排他马上住进了消化科病房。入院后进一步深入检查CT、磁共振和胃肠镜,结果肝脏CT显示,"肝内多发实质性占位"、肠镜示"直肠占位(距肛门4cm处可见菜花样肿块)占据肠腔1/4象限"。消化科医生初步诊断系"大肠癌伴肝脏等全身多处转移",建议徐大伯转肿瘤医院继续治疗。

医生认为肠癌已经很大了,不可能没症状,反复追问病人大便有无发现异常,徐大伯回忆平时偶有便血,都以为是"痔疮"没注意,现在后悔太掉以轻心了。

杭州市一医院体检中心主任杨芬芳说,有些人自认为睡得着、吃得下、拉得出,所以他们拒绝体检,这是很大的误区。这些人往往对一些症状掉以轻心,认为是"小问题",恰恰平时不怎么检查的人往往会查出大问题。徐大伯生活方式非常健康,但就因为忽视了一些"便血的小问题"而没有早期发现肿瘤。

杨主任芬芳呼吁大家都应对自己的身体像管理财富一样认真:认真对待体检,出入平衡,绝不透支身体;如果自己有哪些不良嗜好必须去除,如果已经是某病的"高危人群",必须追踪体检,加做相关检查,争取早发现,早治疗。

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