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纽约市晚近有梅毒流行。疾病控制中心指出过去10年来梅毒发生病例数上升60%,而且1989年每20例梅毒便有1例发生于 Brook-lyn 区。胃梅毒相对少见,本文报告5例。病例分析胃梅毒5例,男3、女2例,年龄22～60岁。体重减轻9%～22%;黑粪2例;生殖系溃疡1例;斑丘疹3例,1例在2个月前发现,2例在检查中。内窥镜检查5例均有病变,包括结节、糜烂、红斑、溃疡、狭窄、梗塞及穿孔;3例胃 pH 测量为2.0～4.0。胃窦活检银染色发现螺旋体4例,另1例取活检前曾用青霉
Syphilis epidemics have recently taken place in New York City. The Centers for Disease Control pointed out that the number of cases of syphilis increased by 60% in the past 10 years and that in Brook-lyn district in 1 in 20 cases of syphilis in 1989. Gastric syphilis is relatively rare, this article reports 5 cases. Case analysis 5 cases of gastric syphilis, 3 males and 2 females, aged 22 to 60 years. 9% to 22% weight loss; black faeces in 2 cases; genital ulcer in 1 case; maculopapular rash in 3 cases, 1 case was found 2 months ago and 2 cases were examined. Endoscopy in 5 cases were all pathological changes, including nodules, erosion, erythema, ulcers, stenosis, infarction and perforation; 3 cases of gastric pH was 2.0 to 4.0. Antral biopsy silver staining found in 4 cases of spirochete, another case of biopsy used before Penicillium