人毛滴虫引起上消化道出血者尚属罕见。我们于1984年收治一例。 患者 男,27岁,工人。因解黑便月余,呕吐咖啡样物1d,诊断为上消化道出血急诊入院。患者神清,面色苍黄。大便成形,日2～3次。无腹痛。4年前曾患肝炎,无胃病史。体检:无皮下出血及肝掌、蛛蜘痣。心肺(一)。腹软,无腹壁静脉显露,中上腹有压痛,肝脾未触及。粪检:红细胞++,白细胞0～2/HP,潜血++++,找到人毛滴虫滋 Human trichomoniasis caused by upper gastrointestinal bleeding is still rare. We admitted a case in 1984. Patient male, 27 years old, worker. Because of the solution to the black moon, vomit coffee samples 1d, diagnosed as upper gastrointestinal bleeding emergency admission. Clear patient, pale yellow. Stool formation, Japan 2 to 3 times. No abdominal pain. 4 years ago had hepatitis, no history of stomach. Physical examination: no subcutaneous bleeding and liver palms, spider nevus. Heart and lung (a). Abdominal soft, no abdominal veins revealed, tenderness in the upper abdomen, liver and spleen not touched. Fecal seizures: red blood cells ++, leukocytes 0 ~ 2 / HP, occult blood ++++, to find human trichomoniasis