论文部分内容阅读
胃嗜酸细胞性肉芽肿临床少见,命名亦不统一。本院1978～1988年共收治10例,报告如下。 1.一般资料:男9例,女1例。年龄23～55岁,平均34.2岁;病程2～20年,平均6.5年。10例中7例有消化道出血史,1例并发急性胃穿孔。患者均有上腹部不适,4例发病时有恶心及呕吐,1例腹部触及肿块,3例外周血嗜酸性白细胞分类高于5%。 2.结果:lo例均作过钡餐检查,诊断为胃癌或胃溃疡,无1例诊断为本病。6例曾行纤维胃镜检查,其中活检4例(1例诊断为本病,1例疑诊为本病,2例为炎性渗出及坏死组织),2例因出血未行活检。
Gastric eosinophilic granuloma is rare in clinical practice and its naming is not uniform. The hospital received 10 cases from 1978 to 1988, and the report is as follows. 1. General information: 9 males and 1 female. Aged 23 to 55 years old, with an average age of 34.2 years; duration of 2 to 20 years, an average of 6.5 years. Of the 10 patients, 7 had history of gastrointestinal hemorrhage, and 1 patient had acute gastric perforation. All patients had epigastric discomfort, 4 cases had nausea and vomiting at the time of onset, 1 case had a bump in the abdomen, and 3 cases had an eosinophilic leukocyte count of more than 5% in the peripheral blood. 2. Results: All lo cases were barium meal examination, diagnosis of gastric cancer or gastric ulcer, no diagnosis of this disease. Fiberoptic gastroscopy was performed in 6 cases, including biopsy in 4 cases (1 case diagnosed as disease, 1 case of suspected disease, 2 cases of inflammatory exudation and necrotic tissue), and 2 cases did not undergo biopsy due to bleeding.