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題 名 | Watermelon Stomach--An Unusual Cause of Recurrent Upper Gastrointestinal Bleeding in a Uremic Patient Receiving Estrogen-Progesterone Therapy: Case Report=以荷蘭蒙治療血液透析患者的"西瓜皮樣胃"一種罕見的反覆性上消化道出血:病例報告 |
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作 者 | 簡竹君; 方基存; 黃秋錦; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁458-462 |
分類號 | 415.52 |
關鍵詞 | 血管擴張; 西瓜皮樣胃; 消化道出血; 血液透析; 荷爾蒙治療; 骨質疏鬆; Vascular ectasia; Watermelon stomach; GI bleeding; Hemodialysis; Estrogen-progesterone therapy; Osteoporosis; |
語 文 | 英文(English) |
中文摘要 | 消化道出血在血液透析患者中,是常見造成頑固性貧血的主因。我們報告一罕見病 例,病人係中年女性血液透析患者,因西瓜皮樣胃而導致之上消化道出血。疾病本身原被診 斷為一般出血性胃炎合併出血,然而病人對於傳統潰瘍或出血性胃炎之治療反應效果不彰, 常因嚴重貧血,需要反覆輸血。入院後重複上消化道內視鏡檢查,發現是少見的西瓜皮樣胃 。經過選擇嘗試以女性荷爾蒙治療後,成功控制出血及貧血引起之相關症狀。在追蹤12個月 期間病人的貧血顯著改善,不再需要輸血治療。同時病人適應良好,並無任何因荷爾蒙治療 引起之不適或併發症產生。經查證文獻,應屬世界首例成功使用荷爾蒙治療此類女性血液透 析患者。此一病例除提醒西瓜皮樣胃是血液透析病患上消化道出血一個不能忽略的成因。同 時說明是項治療亦可廣泛應用於類似症狀血液透析病人。特別是對於過了更年期婦女而言更 有同時預防骨質疏鬆與心血管疾病的功效。其效果與安全性應是相當肯定的。 |
英文摘要 | A 50-year-old woman who had been on maintenance hemodialysis for 5 years developed severe anemia resistant to treatment with iron supplements and erythropoientin 4 months prior to hospital admission. Her stool occult blood test was positive, and an initial panendoscopy revealed evidence of possible antral gastritis. However, repeated administration of sucralfate, H�畜lockers and a proton pump inhibitor was not effective in preventing further gastrointestinal tract blood loss and subsequent refractory anemia. She required multiple blood transfusions and hospital admissions during this period. There was no obvious coagulopathy or thrombocytopenia. After her third admission, a second panendoscopy demonstrated the typical picture of watermelon stomach. A trial of hormone therapy with estrogen and progesterone increased the hemoglobin level within a month without further evidence of active gastrointestinal bleeding. From our experience with this case, we found that the diagnosis of antral vascular ectasia(watermelon stomach) with bleeding requires a high degree of clinical alertness and careful endoscopic examination. Estrogen and progesterone therapy may provide a good option for treating the disease in uremic patients without an obvious complication. To the best of our knowledge, this is the first report demonstrating the use of maintenance hormone therapy in a female uremic patient to successfully treat watermelon gastric bleeding. |
本系統中英文摘要資訊取自各篇刊載內容。