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在临床工作中黄疸的鉴别诊断是一个很重要的课题,它直接影响到病人的及时治疗和预后。由于肝、胆、胰肿瘤往往有消化道症状、黄疸以及谷丙转氨酶(GPT)升高,误诊成黄疸型肝炎而收入传染病房的病例很不少见。我院自1976年至1981年,从1,167例诊断为肝炎的住院病人中,发现肝、胆、胰肿瘤患者40例,检出率为3.4％,其中肝癌27例、胆管癌3例、胰头癌8例、壶腹癌2例。现就40例的临床情况分析如下:
Differential diagnosis of jaundice in clinical work is a very important issue, it directly affects the patient’s timely treatment and prognosis. As the liver, gallbladder, pancreatic tumors often have gastrointestinal symptoms, jaundice and elevated alanine aminotransferase (GPT), misdiagnosed as jaundice hepatitis and income infectious ward cases are not uncommon. In our hospital from 1976 to 1981, from 1,167 inpatients diagnosed with hepatitis, found in 40 cases of liver, gallbladder and pancreatic tumors, the detection rate was 3.4%, of which 27 cases of liver cancer, cholangiocarcinoma in 3 cases, pancreatic head 8 cases of cancer, 2 cases of ampulla carcinoma. Now 40 cases of clinical analysis as follows: