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。
Objective To study clinical manifestation and diagnosis, and analyze case of misdiagnosis. Methods Six patients diagnosised as Eosinophilic gastroenter/tis （EG） were studied. Clinical manifestation, laboratory tests, endoscopies and therapy were analyzed. Results six 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. Conclusion clinical 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.
出处
《中国实用医药》
2008年第36期176-177,共2页
China Practical Medicine
关键词
嗜酸粒细胞性胃肠炎
临床表现
误诊分析
Enosinophilic gastroenteritis
Clinical manifestation
Misdiagnosis analysis
