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患者许××,女,26岁,农民,因上消化道出血不止、严重贫血于1980年8月行剖腹检查,术中见胃内有大量钩虫,约1厘米长,呈细线状,胃粘膜多处出血,给予清除钩虫后行胃大部切除术。术后多次输血,贫血未见改善(血红蛋白在3克%以下),大便隐血试验持续阳性,骨髓检查为缺铁性贫血。于同年12月进行纤维胃镜检查示胃粘膜部分糜烂,并有斑点状出血,仍见钩虫成虫。经多次驱虫及输血,症状略有改善,血红蛋白上升至9克%,大便隐血试验阴性。1981年3月病情反复,查血红蛋白3.5克%,大便钩虫卵(++),隐血试验强阳性,又给予驱虫、输血,未有
Xu × ×, female, 26 years old, farmer, due to upper gastrointestinal bleeding more than severe anemia in August 1980 underwent laparotomy, intraoperative see a large number of hookworm stomach, about 1 cm long, was thin-line, stomach Multiple mucosal hemorrhage, given to clear hookworm gastrectomy. Multiple postoperative blood transfusions, anemia no improvement (hemoglobin in 3 grams% below), fecal occult blood test continued positive, bone marrow examination for iron deficiency anemia. In December the same year, fiber gastroscopy showed gastric mucosal erosion, and spot-like bleeding, still see hookworm adult. Repeated deworming and blood transfusion, the symptoms improved slightly, hemoglobin rose to 9 grams, fecal occult blood test was negative. In 1981 March the disease repeatedly, check hemoglobin 3.5 g%, stool hookworm eggs (++), strong positive occult blood test, but also to deworming, blood transfusion, not