Gheorghescu B, Gherman I, Jovin G H, Suseanu I, Merculiev E, Nedea M, Aposteanu G
Med Interne. 1976 Jan-Mar;14(1):31-8.
Forty adult patients having intestinal infestation with giardia or with parasitic associations, such as giardia-strongiloides, giardia-taenia solium, were subjected to morphological explorations, iron and vitamin B12 absorption tests, steatorrhea assay and serological tests, before treatment as well as six months and one year after eradication of the infection. On admittance, jejunal morphological lesions were noted only in 15 cases especially in associated infestation, iron depletion in six patients, vitamin B12 malabsorption in five patients and steatorrhea only in two cases. After the lapse of six months and one year, respectively, all the tests ranged within normal values, and the jejunal morphological aspect improved significantly indicating the pathogenetic role of intestinal parasites in the development of selective malabsorption.
40例患有贾第虫肠道感染或伴有寄生虫合并感染(如贾第虫-类圆线虫、贾第虫-猪带绦虫)的成年患者,在治疗前以及感染根除后6个月和1年接受了形态学检查、铁和维生素B12吸收试验、脂肪泻检测以及血清学检测。入院时,仅15例出现空肠形态学病变,尤其是在合并感染的情况下;6例患者出现铁缺乏,5例患者出现维生素B12吸收不良,仅2例出现脂肪泻。分别在6个月和1年后,所有检测结果均在正常范围内,空肠形态学外观显著改善,表明肠道寄生虫在选择性吸收不良的发生中起致病作用。