Endoscopic diagnosis of upper gastrointestinal bleeding in 11 cases ancylostomiasis.docVIP

 PAGE \* MERGEFORMAT 8 Endoscopic diagnosis of upper gastrointestinal bleeding in 11 cases ancylostomiasis [Keywords:] on the diagnosis of gastrointestinal bleeding in hookworm gastroscopy Human intestinal parasite hookworm in the previous paragraph can be parasitic in the duodenum and ascending the anterior pyloric antrum, after the gradual emergence of symptoms of chronic upper abdominal pain and indigestion, and can be expressed as continuous black. Now 11 patients in our hospital Misdiagnosis of upper gastrointestinal bleeding, find the line gastroscopy confirmed hookworm parasite and the report is as follows. Materials and Methods 1. General Information A total of 11 cases of patients, including 5 males and 6 females, aged 31 to 56 years, average 42.2 years old, are farmers, all have field work history, duration of 1 to 3 years, the average hospital stay of 12 days. Clinical manifestations were hematemesis 5 cases, including 4 males and 1 female; black stool in 11 cases, including 5 males and 6 females; hematemesis with melena 8; with lower extremity edema in 1 case, 1 case of shock, blood loss was 1000 ml, blood pressure 90/50 mmHg, the pulse appears thin and delicate, dizziness, palpitation, shortness of breath, sweating and other symptoms. All patients had upper abdominal pain, abdominal distension, anorexia, fatigue, recurrent melena with anemia and other symptoms. In local hospitals without endoscopy, diagnosed with peptic ulcer bleeding. have a history of continuous medication, but recurrent disease, efficacy was poor. all cases no other bleeding disorders. 2. Laboratory Admission Hb lt;30 g/L1 cases, 30 g / L Hb 60 g / L total of 5 cases, 60 g / L lt;Hb 109 g / L5 cases, eosinophils increased in 6 cases. BUN normal 6 cases, BUNgt; 6.7 mmol/L5 cases, PLT lt;100 109 / L8 cases. for bone marrow cytology in 1 case, are iron deficiency anemia bone marrow. saturated saline flotation method stool, hook egg-positive in 5 cases (1st