摘要
我院收治小肠淋巴管扩张症2例,均为慢性病程,合并病毒性肝炎,表现浮肿、腹胀、腹泻.辅助检查提示低蛋白血症,白蛋白及球蛋白均显著降低,外周血淋巴细胞降低.内镜检查发现小肠黏膜肿胀,皱襞增粗,绒毛水肿,表面可见乳白色乳糜样物质附着,并可见绒毛顶端乳白色囊泡样改变.2例均发现纵行糜烂.病理见黏膜下淋巴管扩张,未见炎症细胞浸润及肉芽肿.
Two patients in our hospital diagnosed as intestinal lymphangiectasia were studied. The two patients had chronic intestinal lymphangiectasia complicated by virus hepatitis. They presented with edema, abdominal distension and diarrhea, Serological finding indicated hypoproteinemia （including albumin and globulin） and significantly decreased peripheral lymphocytes. Enteroscopy showed that the normal intestinal villous morphology were lost and there were diffuse generalized white-yellowish nodular changes, villous edema and lengthways erosion, Pathological observation revealed the presence of dilated lymphatic vessels without evidence of inflammatory cell infiltration and granuloma.
出处
《世界华人消化杂志》
CAS
北大核心
2008年第19期2195-2197,共3页
World Chinese Journal of Digestology
