1　病历报告　　患者男 ,10岁。以“贫血原因待查”收住院。患者于半年前始出现阵发性腹疼 ,以剑突下为著 ,呈钝疼 ,饥饿时疼痛明显 ,伴大便间断发黑、乏力 ,精神萎靡。在当地医院就诊 ,作胃肠钡透 ,拟诊十二指肠溃疡。给予输血 2 0 0 ml及按照溃疡治疗 2 0余天 ,不见好转 ,遂 1 medical record patient male, 10 years old. To “anemia to be investigated” admitted to hospital. Patients began to appear paroxysmal abdominal pain six months ago, under the xiphoid, was a dull pain, hunger pain was obvious, with intermittent black stool, fatigue, apathetic. Visit a local hospital for barium and gastrointestinal barium, to diagnose duodenal ulcer. Give blood transfusion 200 ml and according to ulcer treatment more than 20 days, no improvement, then