小肠良性瘤占全部小肠肿瘤的1/3,仅及结肠良性肿瘤的1/4,占全消化道肿瘤的5.07％,国内报告占胃肠道良性肿瘤的4.4％1。有人曾复习小肠肿瘤1763例,发现498例并发出血,占28.2％2。我院曾治疗二例误诊为溃疡病合并出血,术后证实为空肠血管平滑肌瘤和空肠粘膜下脂肪瘤。 例1 患者女性,57岁,因一天来两次呕吐咖啡样物及排柏油样便1200毫升,胸闷、头昏.无力而于1969年3月31日入内科。胃病史十年余,时轻时重,与季节变化,饮食似无明显关系,发作时服硷性药可缓解。无呕血及便血史。 体检 体温37℃,脉搏86/分,血压80/60,神清,贫血貌,皮肤未见黄疸与瘀血点,全身浅淋巴 The benign tumors of the small intestine accounts for 1/3 of all small intestine tumors, only 1/4 of the benign tumors of the colon, and account for 5.07% of the total gastrointestinal tumors. Domestic reports accounted for 4.4% of benign gastrointestinal tumors. Some people have reviewed 1,763 cases of small intestine tumors, found 498 cases and issued blood, accounting for 28.2%. Our hospital has treated two cases of misdiagnosis of ulcer disease with hemorrhage, postoperative confirmed jejunovascular leiomyoma and jejunal submucosal lipoma. Example 1 A female patient, 57 years old, had vomited 2,000 milliliters of coffee-like substance and platooned stool for two times a day. Her chest tightness and dizziness were weak. She was unable to get into internal medicine on March 31, 1969. Gastrointestinal history was more than ten years, when light and heavy, with seasonal changes, diet does not seem to have a clear relationship. No vomiting blood and blood history. Physical examination Body temperature 37°C, pulse 86/min, blood pressure 80/60, Shen Qing, anemia appearance, no jaundice and blood stasis in the skin, superficial lymphatic