以贫血为首发症状的消化道恶性肿瘤临床分析(1)
摘 要：目的 提高以贫血为首发表现的消化道肿瘤的认识，避免漏诊和误诊。方法 回顾性分析我院血液科2013年5月～2017年5月收治30例以贫血为首发表现的消化道恶性肿瘤患者的临床资料，患者入院后行全面检查，给予纠正贫血治疗，明确诊断后进行普外科会诊，转入外科进一步治疗。结果 本组以贫血为首发表现的30例消化道肿瘤患者中食管癌3例，胃癌9例，结肠癌15例，直肠癌3例。30例患者中10例(33.33%)患者死亡，9例(30.00%)患者手术、化疗后出现复发、转移，11例(36.67%)患者病情稳定。结论 对不明原因的贫血，特别是中老年人男性患者，应考虑消化道肿瘤的可能，尽可能完善相关检查，尽早明确诊断，避免误诊、漏诊，延误治疗。
关键词：贫血;消化道恶性肿瘤;血液科;食管癌;胃癌
中图分类号：R735.3 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.24.054
, 百拇医药
文章编号：1006-1959(2018)24-0175-03
Abstract：Objective To improve the understanding of digestive tract tumors with anemia as the first performance， to avoid missed diagnosis and misdiagnosis.Methods A retrospective analysis of the clinical data of 30 patients with digestive tract malignancies with anemia as the first manifestation of the Department of Hematology in our hospital from May 2013 to May 2017. The patients underwent a comprehensive examination after admission and were given an anemia treatment. Conduct a general surgery consultation and transfer to surgery for further treatment.Results In this group of 30 patients with digestive tract tumors with anemia as the first manifestation， there were 3 cases of esophageal cancer， 9 cases of gastric cancer， 15 cases of colon cancer， and 3 cases of rectal cancer. Of the 30 patients， 10(33.33%)died， 9(30.00%) had recurrence and metastasis after surgery and chemotherapy， and 11 (36.67%) patients were stable.Conclusion For unexplained anemia， especially in middle-aged and elderly people， the possibility of digestive tract tumors should be considered. The relevant examinations should be improved as much as possible， and the diagnosis should be confirmed as early as possible to avoid misdiagnosis， missed diagnosis and delay of treatment.
, 百拇医药
Key words：Anemia;Digestive tract malignancy;Hematology;Esophageal cancer;Gastric cancer
貧血(anemia)是临床常见一种病症，也是危害人类健康的常见疾病之一，其病因较为复杂，有的还较为隐蔽[1]。引起贫血的病因较多，经贫血相关化验及骨髓穿刺检查，由血液系统疾病引起的贫血诊断相对容易，但其它原因引起的贫血，其病因诊断较困难。一方面，多数以贫血就诊的患者，不愿意做进一步检查，只想着尽快解决贫血问题;另一方面，很多患者对胃镜、肠镜检查存在恐惧心理，不愿接受胃肠镜检查，导致部分患者延误诊治。为了提高贫血患者最终病因诊断率，提高消化道肿瘤的早诊断、早发现，现对我院2013年5月～2017年5月年住院患者中以贫血为首发症状的30例消化道肿瘤患者的临床资料进行回顾性分析，现报道如下。
1 资料与方法
1.1一般资料 选择甘肃省白银市第一人民医院血液科2013年5月～2017年5月收治的30例贫血患者，患者住院后经全面检查，最终诊断为消化道肿瘤。30例患者中，男性21例，女性9例，年龄45～78岁，平均年龄(63.01±15.00)岁。, http://www.100md.com(万芳)
关键词：贫血;消化道恶性肿瘤;血液科;食管癌;胃癌
中图分类号：R735.3 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.24.054
, 百拇医药
文章编号：1006-1959(2018)24-0175-03
Abstract：Objective To improve the understanding of digestive tract tumors with anemia as the first performance， to avoid missed diagnosis and misdiagnosis.Methods A retrospective analysis of the clinical data of 30 patients with digestive tract malignancies with anemia as the first manifestation of the Department of Hematology in our hospital from May 2013 to May 2017. The patients underwent a comprehensive examination after admission and were given an anemia treatment. Conduct a general surgery consultation and transfer to surgery for further treatment.Results In this group of 30 patients with digestive tract tumors with anemia as the first manifestation， there were 3 cases of esophageal cancer， 9 cases of gastric cancer， 15 cases of colon cancer， and 3 cases of rectal cancer. Of the 30 patients， 10(33.33%)died， 9(30.00%) had recurrence and metastasis after surgery and chemotherapy， and 11 (36.67%) patients were stable.Conclusion For unexplained anemia， especially in middle-aged and elderly people， the possibility of digestive tract tumors should be considered. The relevant examinations should be improved as much as possible， and the diagnosis should be confirmed as early as possible to avoid misdiagnosis， missed diagnosis and delay of treatment.
, 百拇医药
Key words：Anemia;Digestive tract malignancy;Hematology;Esophageal cancer;Gastric cancer
貧血(anemia)是临床常见一种病症，也是危害人类健康的常见疾病之一，其病因较为复杂，有的还较为隐蔽[1]。引起贫血的病因较多，经贫血相关化验及骨髓穿刺检查，由血液系统疾病引起的贫血诊断相对容易，但其它原因引起的贫血，其病因诊断较困难。一方面，多数以贫血就诊的患者，不愿意做进一步检查，只想着尽快解决贫血问题;另一方面，很多患者对胃镜、肠镜检查存在恐惧心理，不愿接受胃肠镜检查，导致部分患者延误诊治。为了提高贫血患者最终病因诊断率，提高消化道肿瘤的早诊断、早发现，现对我院2013年5月～2017年5月年住院患者中以贫血为首发症状的30例消化道肿瘤患者的临床资料进行回顾性分析，现报道如下。
1 资料与方法
1.1一般资料 选择甘肃省白银市第一人民医院血液科2013年5月～2017年5月收治的30例贫血患者，患者住院后经全面检查，最终诊断为消化道肿瘤。30例患者中，男性21例，女性9例，年龄45～78岁，平均年龄(63.01±15.00)岁。, http://www.100md.com(万芳)