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本文报告了25例血清免疫球蛋白正常而小肠结节性淋巴样增生的贾第虫病患者。其中男19例,女6例,年龄12～42岁,平均26.36岁。按临床症状分成2组,第1组病人症状持续3个月～10年,患者有反复腹泻或腹泻和便秘交替、厌食、体重减轻、虚弱等病史。体检表明,除有轻度营养不良如皮肤苍白和舌炎外,无明显异常。第2组病人均怀疑有肠淋巴瘤,症状持续6个月～13年。病史与第1组病人相似,但体重显著减轻,并有发热和腹痛。且腹部均触及疑似淋巴结病的肿块,其中6例患者经剖腹探查,5例有肠系膜淋巴结肿大,但未见其他异常。
This article reports 25 patients with giardiasis with normal serum immunoglobulin and small intestinal nodular lymphoid hyperplasia. Including 19 males and 6 females, aged 12 to 42 years, an average of 26.36 years. According to clinical symptoms are divided into two groups, the first group of patients with symptoms continued for 3 months to 10 years, patients with recurrent diarrhea or alternating constipation, anorexia, weight loss, weakness and other medical history. Physical examination showed that, except for mild malnutrition, such as pale skin and glossitis, no obvious abnormalities. The second group of patients suspected intestinal lymphoma, the symptoms last 6 months to 13 years. The medical history was similar to that of the first group, but the weight was significantly reduced with fever and abdominal pain. And the abdomen touches the suspected lymphadenopathy lumps, of which 6 cases by laparotomy, 5 cases of mesenteric lymph nodes, but no other abnormalities.