摘要
目的评价嗜酸细胞性胃肠炎的临床特征、实验室检查结果及内镜下表现。方法对15例确诊的EG病例的临床表现、实验室检查、内镜检查及病理检查资料进行回顾性分析。结果15例病人中以腹痛为首发症状者占93.3%,9例(60%)病人外周血中嗜酸性细胞计数增多。内镜表现为胃窦、十二指肠降段、回盲部粘膜充血水肿、糜烂、红斑、小溃疡等,个别病例粘膜正常,腹腔内镜检查空肠浆膜节段性充血水肿。结论外周血EC增多对诊断EG有提示作用,内镜下粘膜活检病理检查对EG诊断有重要意义,腹腔内镜检查对浆膜型EG有重要诊断价值。
Objective To evaluate the clinical manifestation,laboratory tests and endoscopic characteristics of esoinophilic gastroenteritis （EG）. Methods 15 patients with EG were retrospectively reviewed. Results Abdominal pain for first appearance of symptom accounted for 93.3% among 15 patients with EG. 9（60% ） patients with EG had higher peripheral eosinophilic cell（EC ） count. The endoscopic characteristics were musocal edema, erythema, erosion and small ulceration in gastric antrum,the second part of duodenum and ileocecal junction. Conclusion Higher peripheral eosinophilic cell count is helpful for the diagnosis of EG. Mocosal biopsy by means of endoscpy is valuable to the diagnosis of EG and laparoendoscopy is important for serosal type of EG.
出处
《中国现代医生》
2008年第31期23-24,26,共3页
China Modern Doctor
