类风湿关节炎伴溃疡性结肠炎致大出血误诊一例

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患者女,主因乏力、苍白9个月,加重伴黑便10d入院。患者9个月前无明显诱因出现乏力、苍白,在当地医院查血红蛋白60g/L,给予输血、保护胃黏膜及对症治疗好转出院。10d前感腹胀不适,伴黑便,苍白乏力加重于我院门诊查血红蛋白40g/L收入院。既往患类风湿关节炎(RA)20余年,长期服用多 Female patients, mainly due to fatigue, pale 9 months, increased with black stool 10d admission. Patients 9 months ago no obvious incentive to appear weak, pale, check the local hospital hemoglobin 60g / L, given blood transfusion, protection of gastric mucosa and symptomatic treatment improved discharge. 10d flu before discomfort, with melena, pale fatigue increased in our hospital outpatient check hemoglobin 40g / L income hospital. Previous rheumatoid arthritis (RA) more than 20 years, long-term use and more
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