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小肠多发性息肉癌伴肠套叠致消化道出血,临床上较为少见。现报告1例如下。患者,男,53岁。因大量柏油样稀便近1月,于1989年12月30日急诊入院。体检:Bp110/70mmHg,P92次/分,贫血貌,全身浅表淋巴结未能触及。心肺正常。腹部除肠鸣音稍亢进外,无其他阳性体征。血红蛋白5.6g,白细胞5900/mm~3。大便隐血强阳性。尿素氮32mg％。拟诊“消化道出血”收入内科。纤维胃镜检查未发现病变。经积极治疗,出血症状无明显好转,入院48小时内又先后排血便1050ml,血压降至
Intestinal multiple polyposis with intussusception caused by gastrointestinal bleeding, is relatively rare in clinical practice. The report 1 is for example below. Patient, male, 53 years old. As a result of a large number of tar-like sloppy stools in recent January, he was admitted to the hospital on December 30, 1989. Physical examination: Bp110/70mmHg, P92 beats/min, anemia appearance, and the body’s superficial lymph nodes failed to reach. Normal heart and lung. Abdominal bowel sounds were slightly hyperactive except for other positive signs. Hemoglobin 5.6g, WBC 5900/mm~3. Fecal occult blood is strong and positive. Urea nitrogen 32mg%. To be diagnosed with “gastrointestinal bleeding” income internal medicine. Fiber gastroscopy found no lesions. After active treatment, there was no obvious improvement in bleeding symptoms. Within 48 hours of admission, blood pressure was reduced by 1050 ml, and blood pressure dropped.