嗜酸粒细胞性胃肠炎的特点及误诊分析
【摘要】 目的 探讨嗜酸粒细胞性胃肠炎的临床表现及诊断标准，分析误诊原因。方法 分别从临床表现、实验室检查、内镜下表现以及治疗等方面对本组6例患者进行分析，进一步提高对本病的认识。结果 本组6例均经内镜检查并取病理确诊为嗜酸粒细胞性胃肠炎。本组中6例均有明显腹痛，其中3例有腹泻，易误诊为急性胃肠炎；4例有黑便，化验便潜血阳性，易误诊为肠道肿瘤；1例以腹水为主要表现，易误诊为结核性腹膜炎。结论 嗜酸粒细胞性胃肠炎临床表现多种多样，无特异性，常易误诊或漏诊。【关键词】嗜酸粒细胞性胃肠炎；临床表现；误诊分析
Clinical Characteristics and Misdiagnosis Analysis of the Enosinophilic Gastroenteritis
LU Lei, ZHANG Ye, DU Rei-ling. Department of Gastroenterology, Beijing Shunyi Hospital, Beijing 101300，China
【Abstract】 Objective To study clinical manifestation and diagnosis, and analyze case of misdiagnosis. MethodsSix patients diagnosised as Eosinophilic gastroenteritis(EG) were studied.Clinical manifestation, laboratory tests,endoscopies and therapy were analyzed.Resultssix patients were diagnosised as EG throughout endoscopies. All had obviously abdominal pain and three of them had diarrhea, which were easily misdiagnosised as acute gastroenteritis. Four patients had henatichezia and we easily misdiagnosised them as carcinoma. One case presented with ascites, and it was probably diagnosised as tuberculous peritonitis. Conclusionclinical and endoscopic presentations of EG are not specific, therefore the presense of enosinphilia in peripheral blood and ascites especially in gastrointestinal mucosa strongly indicate the diagnosis. ......
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