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口服杀虫脒能引起上消化道粘膜损害.作者对20例患者治愈后行纤维胃镜检查及活检病理结果报告如下:20例均系口服25%杀虫脒乳剂中毒,男4例,女16例,年龄15～42岁.经洗胃,应用大剂量维生素C或/和小剂量美蓝等综合治疗后好转.15例患者有不同程度的腹胀、上腹部疼痛、恶心等症状.其中大便潜血阳性8例,有明显黑便6例.全部患者既往均无胃炎、溃疡病病史.胃镜检查:3例大致正常,17例为化学性胃炎.胃粘膜有不同程度出血、水肿,多呈弥漫性,以胃窦部及胃小弯侧为重.胃窦部粘膜组织活检病理检查,其中13例有炎性细胞浸润.
Oral chlordimeform can cause upper gastrointestinal mucosal damage.According to the 20 patients were cured after fibro-endoscopy and biopsy results reported as follows: 20 cases were oral 25% chlordimeform emulsion poisoning, 4 males and 16 females , Aged 15 to 42. After gastric lavage, the application of large doses of vitamin C or / and small doses of methylene blue and other comprehensive treatment improved.Among 15 cases of patients with varying degrees of abdominal distension, abdominal pain, nausea and other symptoms. Including positive fecal occult blood 8 cases, with significant black stool in 6 cases.All the patients had no history of gastritis, ulcer disease.Gastroscopy: 3 cases were generally normal, 17 cases of chemical gastritis.Gastric mucosa have varying degrees of bleeding, edema, mostly diffuse, Antral and gastric lesser curvature side of the weight.Antral mucosa biopsy pathological examination, of which 13 cases of inflammatory cell infiltration.