SYNCOPES LEADING TO THE DIAGNOSIS OF A HELICOBACTER-PYLORI POSITIVE CHRONIC ACTIVE HEMORRHAGIC GASTRITIS
SYNCOPES LEADING TO THE DIAGNOSIS OF A HELICOBACTER-PYLORI POSITIVE CHRONIC ACTIVE HEMORRHAGIC GASTRITIS
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DOI：
10.1007/bf02072207
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发表时间：
1991-06-01
影响因子：
3.6
通讯作者：
VANDENPLAS, Y
中科院分区：
文献类型：
--
作者：
BLECKER, U;RENDERS, F;VANDENPLAS, Y
一名15岁的女孩在一周后因疲劳和苍白而入院。她没有肠胃不适。患者在入院前的最后3天内发生了4次晕厥。除了苍白和不连续的心脏杂音外，体格检查正常。进一步的彻底调查显示，缺铁性贫血与幽门螺杆菌阳性慢性活动性出血性胃炎有关。治疗包括阿莫西林和胶体次枸橼酸铋（分别口服500 mg和120 mg，每日3次），持续6周。未给予铁补充剂。结合H.幽门螺杆菌和出血性胃炎的愈合，如组织学所示，血红蛋白值恢复正常，症状消失。实现了微生物的根除。此后，她再没有类似的投诉。
A 15-year-old girl was admitted after 1 week of increasing fatigue and pallor. She had no gastro-intestinal complaints. The patient had suffered from four episodes of syncope during the last 3 days prior to admission. Besides pallor and a discrete cardiac murmur, the physical examination was normal. A further thorough investigation revealed an iron deficiency anaemia related to a Helicobacter pylori positive chronic active haemorrhagic gastritis. Treatment consisted of amoxycillin and colloidal bismuth subcitrate (500 mg and 120 mg orally respectively, 3 times daily) during a period of 6 weeks. Iron supplements were not administered. Together with the clearance of H. pylori and healing of the haemorrhagic gastritis, as demonstrated by histology, haemoglobin values returned to normal and the symptoms disappeared. An eradication of the micro-organism was obtained. She has since had no further similar complaints.