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我院自1989年元月至1992年12月行胃镜检查1842人次,共检出胃血吸虫合并胃溃疡6例,均经病理证实,现报道如下。临床资料发病年龄为32~63岁,均为男性。所有病人均在血吸虫疫区生活过,其中有4例已明确诊断并经过治疗,1例有肝脾大,3例有脾肿大。有上腹部痛、嗳气4例,食后上腹部饱胀1例,上腹部胀痛伴解黑便1例。病程2~15年。胃镜检查:溃疡位于胃窦部4例,胃窦、胃体各1例。有2例溃疡呈绿豆大小、浅表,周边粘膜稍红肿,呈多发性。有4例溃疡呈圆形或椭圆形。直径0．5~1．5cm周边粘膜肿胀、稍充血。6例患者均做活检,病理证实为胃血吸虫病。
Our hospital from January 1989 to December 1992 gastroscopy 1842 passengers, were detected stomach schistosomiasis with gastric ulcer in 6 cases, are pathologically confirmed, are reported below. Clinical data of the age of 32 to 63 years old, are men. All patients had been living in the endemic area of schistosomiasis, of which 4 cases had been diagnosed and treated, 1 case had hepatosplenomegaly and 3 cases had splenomegaly. There are upper abdominal pain, belching 4 cases, 1 case of upper abdominal fullness after eating, upper abdominal pain with black solution 1 case. Course of 2 to 15 years. Gastroscopy: gastric ulcer located in 4 cases, gastric antrum, stomach in 1 case. There are 2 cases of mung bean size ulcers, superficial, peripheral mucosal slightly swollen, was multiple. Four cases of ulcers were round or oval. 0.5 ~ 1.5cm in diameter around the mucosal swelling, a little hyperemia. All the 6 patients were biopsied and the pathology was confirmed as gastric schistosomiasis.