作者等首次报告由阿米巴病引起的急性肠内瘘男性患者4例,年龄在33—49岁之间。所有病人都有腹疼、腹胀及腹泻等阿米巴病的症状,肝压痛并不一定全部存在,但腹膜炎的症状都较明显,并有较重的瘦弱和失水等。四例病人均经确诊为阿米巴病,曾投以抗阿米巴药物,未见奏效。嗣经钡造影术,其中三例还作了剖腹探查,诊断为肠内瘘。发生内瘘的部位除一例在肠胃术接部外,其余 The authors first reported 4 patients with acute intestinal fistula caused by amoebiasis, aged 33-49 years. All patients have abdominal pain, bloating and diarrhea and other symptoms of amebiasis, liver tenderness does not necessarily exist, but the symptoms of peritonitis are more obvious, and a heavier thin and water loss and so on. Four patients were diagnosed as amebiasis, had cast anti-amoebic drugs, no effect. Si by barium angiography, of which three cases were made laparotomy, diagnosis of intestinal fistula. Fistula occurred in addition to a site in the Department of Gastroenterology, the rest