1病例资料患者女,75岁,主因发现腹腔占位性病变3月余入院。患者自1987年开始反复出现黑便、头晕、乏力,多次复查胃镜未见活动性出血灶,外院诊断缺铁性贫血,口服铁剂、多次输血治疗,病情无改善。1998年我院检查血红蛋白46g/L,血清铁25μg/dL、铁蛋白62.3mg/dL、铁饱和度19.8%,按缺铁性贫血治疗症状仍无改善,并出现黄疸,总胆红素 A case of female patients, 75 years old, mainly due to abdominal mass lesions found more than 3 months admission. Since 1987, patients began to recurrent melena, dizziness, fatigue, repeated examination of gastroscopy no active hemorrhage, outside the hospital diagnosis of iron deficiency anemia, oral iron, multiple transfusion therapy, the condition did not improve. In 1998 our hospital examination of hemoglobin 46g / L, serum iron 25μg / dL, ferritin 62.3mg / dL, iron saturation 19.8%, according to the treatment of iron deficiency anemia symptoms still no improvement, and jaundice, total bilirubin