论文部分内容阅读
黑斑一息肉综合征(Peutz-Jegher’s syndrome)指胃肠道有散在息肉。同时皮肤粘膜有多发性黑色素痣。为一少见的疾病,而息肉呈肠腔外生长者更属罕见。现将我院所遇1例报告如下。 1 病例报告 女,49岁。因间歇性血便3年,反复右上腹痛6个月,于1990-10-28入院。患者3年来有不明原因间歇性暗红色血便,量不多,曾3次住我院,2次住上级医院,予以H_2受体阻滞剂、止血药、锡类散、中药等治疗,效果不确切。出血期查内镜3次,示慢性浅表性胃炎,胃十二指肠未见出血灶,作吞线试验示出血在空肠中上段,因患者皮肤粘膜有棕褐色色素斑,疑伴胃肠道息肉,作全消化道造影2次及肠镜1次,无异常发现。近6个月来有反复发作性右上腹痛,B超证实胆囊多发性结石,收住院作胆囊切除术。查体:T 36.8℃,P 78/min,BP 14.5/10 kPa,发育营养欠佳,贫血貌,巩膜不黄,躯干部密集直径1-3
Peutz-Jegher’s syndrome refers to gastrointestinal scattered polyps. At the same time there are multiple skin and mucosal melanoma. For a rare disease, and polyps were extraintestinal growth more rare. I now encounter a hospital reported as follows. 1 case report Female, 49 years old. Due to intermittent bloody stool 3 years, repeated right upper quadrant pain for 6 months, admitted to hospital in 1990-10-28. Patients 3 years of unexplained intermittent dark red bloody stool, small amount, lived in our hospital 3 times, 2 times to stay at a higher level hospital, to H_2 receptor blockers, hemostatic drugs, tin powder, such as Chinese medicine treatment, the effect is not exact. Bleeding endoscopy 3 times, showing chronic superficial gastritis, gastroduodenal no hemorrhage, swallowing test showed blood in the upper jejunum, because of skin and mucous membranes in patients with tan pigment suspect with gastrointestinal Road polyps, for the whole digestive angiography 2 times and enteroscopy 1, no abnormal findings. Nearly 6 months have recurrent right upper quadrant abdominal pain, B-confirmed gallbladder multiple stones, admitted to hospital for cholecystectomy. Physical examination: T 36.8 ℃, P 78 / min, BP 14.5 / 10 kPa, poor nutrition, anemia appearance, sclera not yellow, trunk diameter 1-3