【健康科普】为什么直肠癌最容易被误诊为痔疮
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=1605251010499" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010499"><!-- 付费贴--> <div class="preview_article "> <!----> <div id="jsWxContainer" class="wx_rich_media_content"><section style="margin-bottom: unset;"></section><section style="margin-bottom: unset;"><section style="margin-bottom: unset;" data-tpl-id="18538"><section style="background-color: #e4f1ff; margin-bottom: unset;"><section style="margin-bottom: unset;"><p> </p></section><section style="margin-bottom: unset;"><section style="margin: 20px;"><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">雁城的小伙伴们</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">俗话说</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">十人九痔</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">痔疮是十分常见的小毛病</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">严重起来也够要命</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">但是，你们知道吗</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">其实<span style="line-height: 24.5px; color: #ff0000;"><strong>痔疮最大危害</strong></span>莫过于</span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">它的存在</span><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;"><span style="line-height: 24.5px; color: #ff0000;"><strong>更容易造成其他疾病的误诊</strong></span></span></p><p style="text-align: center;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">从而导致</span><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;"><span style="line-height: 24.5px; color: #ff0000;"><strong>错过最佳治疗时期</strong></span></span></p></section></section><section style="margin-bottom: unset;"><section style="margin-bottom: unset;" data-support="96编辑器"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px;" data-align="title"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 13px; margin-bottom: -16px; margin-left: -1px; transform: rotate(0deg);"><p> </p></section><section><p style="font-size: 16px; letter-spacing: 1px; color: #fefefe;"><strong>常见的哪些疾病</strong></p><p style="font-size: 16px; letter-spacing: 1px; color: #fefefe;"><strong>容易被误诊为痔疮？</strong></p></section><section style="width: 25px; margin: -22px -26px unset auto;"><p> </p></section></section></section></section><section style="width: 96%; margin-left: auto; margin-right: auto; margin-bottom: unset;" data-width="96%"><section style="margin-top: 20px; margin-right: 12px; margin-left: 12px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222124kdhjw2e0bb4hi4ee.png" /></div></section><section style="width: 70px; height: 179px; background-color: #f0f7ff; margin-left: auto; margin-top: -166px; margin-bottom: unset; overflow: hidden; line-height: 0;"></section></section><section style="margin-bottom: unset;"><section style="background-color: #fefefe; margin: 20px 10px; padding: 10px; border: 1px solid #86c3ff;"><section style="margin-bottom: unset;"><section style="margin-top: 10px;"><section style="letter-spacing: 2px; line-height: 1.75em; color: #000000; text-indent: 2em;">临床上直肠癌、脱肛、肛裂、肛乳头肥大、直肠息肉、肛门瘙痒症、肛窦炎等肛肠疾患易误诊为痔疮。但最重要最常见的是把直肠癌误诊为痔疮。</section><section style="margin-bottom: unset;"><section style="display: flex; justify-content: center; align-items: center; margin-bottom: unset;"><section style="width: 50%; margin-bottom: unset;" data-width="50%"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222125axa6xxax16jqq6rc.jpeg" /></div></section><section style="width: 50%; margin-left: 10px; margin-bottom: unset;" data-width="50%"><section style="width: 12px; height: 12px; background-color: #fab75c; border-radius: 50%; margin-right: auto; margin-left: auto; overflow: hidden; line-height: 0;"></section><section style="padding: 10px; margin-top: 10px; border: 1px dashed #86c3ff;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222125smfrbnmjojmq6kqm.png" /></div></section><section style="width: 46px; margin: -10px auto unset auto;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222125ofvlyxyqidlfxyfd.gif" /></div></section></section></section></section></section></section></section></section><section style="margin-bottom: unset;"><p> </p></section><section style="margin-bottom: unset;" data-support="96编辑器"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px;" data-align="title"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 13px; margin-bottom: -16px; margin-left: -1px; transform: rotate(0deg); -webkit-transform: rotate(0deg); -moz-transform: rotate(0deg); -ms-transform: rotate(0deg); -o-transform: rotate(0deg);"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222125wdn19q7dznvmjkdq.png" /></div></section><section><p style="font-size: 16px; letter-spacing: 1px; color: #fefefe;"><strong>为什么直肠癌</strong></p><p style="font-size: 16px; letter-spacing: 1px; color: #fefefe;"><strong>会经常被误诊为痔疮呢？</strong></p></section><section style="width: 25px; margin: -22px -26px unset auto;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222126r6nn200c0n34xr25.gif" /></div></section></section></section></section><section style="width: 96%; margin-left: auto; margin-right: auto; margin-bottom: unset;" data-width="96%"><section style="margin-top: 20px; margin-right: 12px; margin-left: 12px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222126vw3o39z9fzqbb795.jpeg" /></div></section><section style="width: 70px; height: 179px; background-color: #f0f7ff; margin-left: auto; margin-top: -166px; margin-bottom: unset; overflow: hidden;"></section></section><section style="margin-bottom: unset;"><section style="background-color: #fefefe; margin: 20px 10px; padding: 10px; border: 1px solid #86c3ff;"><section style="margin-bottom: unset;"><section style="margin-top: 10px;"><p style="letter-spacing: 2px; line-height: 1.75em; color: #000000; text-indent: 2em;"><span style="text-align: justify;">临床研究表明早期直肠癌的平均误诊率可达50%以上，误诊的主要疾病居前三位的是痢疾、痔疮和肠炎。三者占总误诊疾病的90%左右。</span></p><p style="text-indent: 2em;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">直肠癌的症状和痔疮的症状是一样的，比如早期的出血症状，早期直肠癌出血量很少，血是鲜红色的，和痔疮的很相近，很多医生可能由于对此了解的不是很多，可能就会将此疾病诊断为痔疮，这就造成了误诊。</span></p></section></section></section></section><section style="margin-bottom: unset;" data-support="96编辑器"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px;" data-align="title"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 13px; margin-bottom: -16px; margin-left: -1px; transform: rotate(0deg); -webkit-transform: rotate(0deg); -moz-transform: rotate(0deg); -ms-transform: rotate(0deg); -o-transform: rotate(0deg);"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222126g4k4oh881ykpqkfl.png" /></div></section><section><p style="font-size: 16px; letter-spacing: 1px; color: #fefefe;"><strong>此外，误诊常与</strong></p><p style="font-size: 16px; letter-spacing: 1px; color: #fefefe;"><strong>下列因素有关</strong></p></section><section style="width: 25px; margin: -22px -26px unset auto;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222126upuaniiiuy5yieia.gif" /></div></section></section></section></section><section style="margin-bottom: unset;"><section style="background-color: #fefefe; margin: 20px 10px; padding: 20px 10px; border: 1px solid #86c3ff;"><section style="margin-bottom: unset;"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 20px; margin-left: auto; margin-right: -26px; margin-bottom: -13px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222126fdlz4qs3zuztdp93.gif" /></div></section><section style="display: flex; justify-content: flex-start; align-items: center; margin-bottom: unset;"><section style="width: 30px; height: 30px; border-radius: 50%; text-align: center; margin-bottom: unset; margin-right: 10px; border: 1px solid #86c3ff;"><p style="font-size: 15px; color: #4a90e2; line-height: 27px;"><strong>1</strong></p></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 90px; height: 0px; border-top: 1px dashed #86c3ff; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="margin-left: 12px; margin-bottom: unset;"><p style="font-size: 16px; letter-spacing: 2px; color: #4a90e2;"><strong>缺乏相关卫生知识</strong></p></section></section></section><section style="margin-top: 10px;"><p><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">① 部分患者对该病缺乏科学常识，认为有粘血便即为痔疮或消化不良，既不重视，又不就医，延误诊治；</span></p><p><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">② 某些医务人员缺乏有关直肠癌的基本知识，把早期出现的症状臆断为痔疮出血，给予对症或中西药治疗，使病情延误。</span></p></section></section><section style="margin-bottom: unset;"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 20px; margin-left: auto; margin-right: -26px; margin-bottom: -13px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222127kuu9814u04sdsrd9.gif" /></div></section><section style="display: flex; justify-content: flex-start; align-items: center; margin-bottom: unset;"><section style="width: 30px; height: 30px; border-radius: 50%; text-align: center; margin-bottom: unset; margin-right: 10px; border: 1px solid #86c3ff;"><p style="font-size: 15px; color: #4a90e2; line-height: 27px;"><strong>2</strong></p></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 90px; height: 0px; border-top: 1px dashed #86c3ff; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="margin-left: 12px; margin-bottom: unset;"><p style="font-size: 16px; letter-spacing: 2px; color: #4a90e2;"><strong>诊断程序草率</strong></p></section></section></section><section style="margin-top: 10px;"><p style="letter-spacing: 2px; line-height: 1.75em; color: #000000;">忽视了对病史的细致了解和全面分析，把直肠癌的早期症状误诊为痢疾、内痔、肠炎。</p></section></section><section style="margin-bottom: unset;"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 20px; margin-left: auto; margin-right: -26px; margin-bottom: -13px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222127kykgqc4azcndq7qd.gif" /></div></section><section style="display: flex; justify-content: flex-start; align-items: center; margin-bottom: unset;"><section style="width: 30px; height: 30px; border-radius: 50%; text-align: center; margin-bottom: unset; margin-right: 10px; border: 1px solid #86c3ff;"><p style="font-size: 15px; color: #4a90e2; line-height: 27px;"><strong>3</strong></p></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 90px; height: 0px; border-top: 1px dashed #86c3ff; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="margin-left: 12px; margin-bottom: unset;"><p style="font-size: 16px; letter-spacing: 2px; color: #4a90e2;"><strong>满足于症状治疗</strong></p></section></section></section><section style="margin-top: 10px;"><p style="letter-spacing: 2px; line-height: 1.75em; color: #000000;">按肠炎、痔疮、痢疾等病治疗可使症状短期缓解，从而使患者思想麻痹，满足现有疗效而未行进一步检查。</p></section></section><section style="margin-bottom: unset;"><section style="display: inline-block; margin-bottom: unset;"><section style="width: 20px; margin-left: auto; margin-right: -26px; margin-bottom: -13px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222127tsm9cmm5xz6c9c56.gif" /></div></section><section style="display: flex; justify-content: flex-start; align-items: center; margin-bottom: unset;"><section style="width: 30px; height: 30px; border-radius: 50%; text-align: center; margin-bottom: unset; margin-right: 10px; border: 1px solid #86c3ff;"><p style="font-size: 15px; color: #4a90e2; line-height: 27px;"><strong>4</strong></p></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 90px; height: 0px; border-top: 1px dashed #86c3ff; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="width: 6px; height: 6px; background-color: #fab75c; border-radius: 50%; margin-bottom: unset; overflow: hidden; line-height: 0;"></section><section style="margin-left: 12px; margin-bottom: unset;"><p style="font-size: 16px; letter-spacing: 2px; color: #4a90e2;"><strong>体格检查及辅助检查不全面</strong></p></section></section></section><section style="margin-top: 10px;"><p style="letter-spacing: 2px; line-height: 1.75em; color: #000000;"><span style="text-align: justify;">① 忽视“肛门指诊” 。文献报道指出，约80%的直肠癌可在直肠指诊时被发现，而在延误诊断的病例中，约80%是由于未做直肠癌指诊，这两个80%的数字值得重视。直肠指检在肛肠疾病诊断及鉴别诊断中极为重要，应列为常规检查。</span></p><p><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">② 有时由于技术因素或肿瘤位置较高，指检阴性时更易造成漏诊。此时应辅以直肠或乙状结肠镜及活组织检查以便确诊。</span></p></section></section><section style="margin-bottom: unset;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222127zfo5noijmf25152j.jpeg" /></div><p style="text-align: center;"> </p></section></section></section><section style="width: 96%; margin-left: auto; margin-right: auto; margin-bottom: unset;" data-width="96%"><section style="margin-top: 20px; margin-right: 12px; margin-left: 12px;"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222128tup7zq0j40se5cuy.png" /></div></section><section style="width: 70px; height: 179px; background-color: #f0f7ff; margin-left: auto; margin-top: -166px; margin-bottom: unset; overflow: hidden;"></section></section><section style="margin-bottom: unset;"><section style="background-color: #fefefe; margin: 20px 10px; padding: 10px; border: 1px solid #86c3ff;"><section style="margin-bottom: unset;"><section style="margin-top: 10px;"><section style="letter-spacing: 2px; line-height: 1.75em; color: #000000; text-indent: 2em;">针对上述误诊原因，必须要大力普及直肠癌基础知识。凡对不明原因粘血便，大便习惯改变、贫血、下腹坠痛者，均应常规进行肛检，并辅以镜检及活组织检查，这样才能有效避免和减少直肠癌的早期误诊率。</section></section></section></section></section><section style="margin-bottom: unset;"><section style="margin-top: 50px;"><section style="margin: 30px 10px 20px;"><section style="margin-bottom: unset;"><section style="text-align: center; margin-right: 15px; margin-left: 15px; margin-bottom: -25px;"><section style="display: inline-block; margin-bottom: unset;"><section style="display: flex; justify-content: flex-start; align-items: center; margin-left: -15px; margin-bottom: unset;"><section style="width: 8px; height: 8px; background-color: #2b67f3; margin-bottom: unset; overflow: hidden; line-height: 0; transform: rotateZ(45deg); -webkit-transform: rotateZ(45deg); -moz-transform: rotateZ(45deg); -ms-transform: rotateZ(45deg); -o-transform: rotateZ(45deg);"></section><section style="width: 8px; height: 8px; background-color: #2b67f3; margin-left: 5px; margin-bottom: unset; overflow: hidden; line-height: 0; transform: rotateZ(45deg); -webkit-transform: rotateZ(45deg); -moz-transform: rotateZ(45deg); -ms-transform: rotateZ(45deg); -o-transform: rotateZ(45deg);"></section></section><section style="color: rgba(243, 244, 241, 0.14); padding: 8px 35px; border-radius: 0px 0px 10px 10px; margin-top: 10px; margin-bottom: unset;"><p><span style="color: #ffffff; font-size: 20px;"><strong>胃 肠 外 科</strong></span></p></section></section></section></section><section style="background-color: #fefefe; padding: 30px 15px 15px; margin-bottom: unset; border: 1px solid #2a67f3;"><section style="margin-bottom: unset;"><section style="margin-top: 15px; margin-bottom: 15px;"><section style="display: flex; justify-content: center; align-items: center; margin-bottom: unset;"><section style="width: 65%; margin-bottom: unset;" data-width="65%"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222128zur42u4q2f3648m1.jpeg" /></div></section><section style="width: 50%; margin-left: 20px; margin-bottom: unset;" data-width="50%"><div style="text-align: center;"><img src="https://pic.bbs.jiuquhe.com/forum/202401/08/222128zxc7j2jaazamds8a.jpeg" /></div><section style="width: 105px; margin-bottom: unset;"><p> </p></section></section></section></section></section><section style="margin-bottom: unset;"><section style="margin-top: 15px; margin-bottom: 15px;"><section style="line-height: 2.2em; margin-bottom: unset;"><p style="letter-spacing: 2px; color: #000000; text-indent: 2em; line-height: 1.75em;"><span style="line-height: 1.75em;">胃肠外科是一个集医疗、教学、科研为一体的医院重点学科，承担着临床医疗、医学研究、医学教育和社会公益责任。科室拥有一支技术精湛、实力雄厚、人才梯队合理的专业团队，现有医师5人，其中副主任医师2人，主治医师1人，住院医师2人。护理组15人，其中副主任护师1人，主管护师6人，护师6人，护士2人。学科亚专业包括胃肠外科、结直肠外科、血管外科、疝外科、甲状腺外科等。</span></p><p style="text-indent: 2em; line-height: 1.75em;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">此外，科室现有普通床位45张，每年收治患者近1000余人，完成手术600余例，其中四级手术占15%以上，微创手术占50%以上，业务技术水平及医疗服务质量在本地区处于领先地位。</span></p><p style="text-indent: 2em; line-height: 1.75em;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">诊疗的疾病类型主要包括胃癌、结直肠癌、胃十二直肠穿孔、小肠肿瘤、阑尾炎、肠梗阻、腹外疝、甲状腺肿瘤、下肢静脉曲张等。此外，对于一些消化系统疾病，消化内科的治疗手段效果不佳时，需要胃肠外科治疗，如消化道出血和炎症性肠病的外科治疗。</span></p><p style="text-indent: 2em; line-height: 1.75em;"><span style="color: #000000; letter-spacing: 2px; line-height: 24.5px;">胃肠外科全体医护人员崇尚救死扶伤的人道主义精神，坚持“以病人为中心”的服务宗旨，注重人文关怀，以精良的技术和优质的服务为您的健康保驾护航。</span></p><section style="margin-bottom: unset;" data-support="96编辑器" data-style-id="52418"><section style="display: flex; margin-top: 10px; margin-bottom: 10px; justify-content: center; align-items: flex-start;" data-align="title"><section style="width: 25px; margin-top: 5px; z-index: 1; margin-bottom: unset;"><p> </p></section><section style="background-color: #53baae; padding: 4px 16px; margin-bottom: unset; margin-top: 14px; margin-left: -8px;"><p style="font-size: 16px; letter-spacing: 2px; color: #fefefe;"><span style="font-size: 18px;"><strong>坐诊信息</strong></span></p></section></section></section><section style="margin-bottom: unset;"><table width="100%"><tbody><tr><td style="background-color: #53baae;" align="center" valign="middle"><span style="color: #ffffff;"><strong>时间</strong></span></td><td style="background-color: #53baae;" align="center" valign="middle"><strong><span style="color: #ffffff;">周一</span></strong></td><td style="background-color: #53baae;" align="center" valign="middle"><strong><span style="color: #ffffff;">周二</span></strong></td><td style="background-color: #53baae;" align="center" valign="middle"><strong><span style="color: #ffffff;">周三</span></strong></td><td style="background-color: #53baae;" align="center" valign="middle"><strong><span style="color: #ffffff;">周四</span></strong></td></tr><tr><td align="center" valign="middle">上午</td><td align="center" valign="middle">王文锋</td><td align="center" valign="middle">刘 华</td><td align="center" valign="middle">王文锋</td><td align="center" valign="middle">李 冬</td></tr><tr><td align="center" valign="middle">下午</td><td align="center" valign="middle">王文锋</td><td align="center" valign="middle"> </td><td align="center" valign="middle">王文锋</td><td align="center" valign="middle"> </td></tr></tbody></table></section></section></section></section></section></section></section></section></section><section style="margin-bottom: unset;"><section style="margin-bottom: unset;"><p style="text-align: center;"><span style="color: #4a90e2;"><em><strong>END</strong></em></span></p><section style="margin-top: 20px; margin-right: 20px; margin-left: 20px;"><section style="margin-right: 5px; width: 100%; height: 1px; border-top: 1px dashed #6bc1f6; overflow: hidden; line-height: 0;" data-width="100%"></section><section style="width: 26px; margin: -13px 30px unset auto;"><p> </p></section></section></section></section></section></section><section style="margin-bottom: unset; letter-spacing: 0.544px; color: #333333; font-size: 16px;"><section style="margin-bottom: unset;"><section style="margin-bottom: unset; letter-spacing: 0.544px; background-color: #fafafa;"><p style="letter-spacing: 0.544px; line-height: normal;"><span style="font-size: 12px; color: #888888;">来源：雁江区人民医院 胃肠外科</span></p><p style="letter-spacing: 0.544px; line-height: normal;"> </p></section></section></section></section></div><p> </p> <!----></div> 好专业的科普谢谢分享 医疗误诊有时难免。 保重身体 清淡饮食 误诊谁的错 医疗吴诊是难免的 感谢分享 谢谢分享
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