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目的:研究分析嗜酸细胞性胃肠炎的临床诊治。方法:在本院2013年9月~2015年9月接收的嗜酸细胞性胃肠炎患者中选择24例作为研究对象,收集整理病人临床资料,分析其临床诊断及治疗情况。结果:18例为黏膜型,2例为浆膜型,4例为肌层型;外周血与骨髓中嗜酸细胞计数上升。内镜检查表现无特异性,大部分是黏膜片状糜烂、散在出血点或者血斑、浅溃疡;经活检可见嗜酸细胞浸润。采取激素治疗可有效改善症状。结论:嗜酸细胞性胃肠炎临床以及内镜表现特异性不明显,临床诊断中外周血嗜酸细胞增多为关键,在诊断后实施激素治疗可获得较好效果。
Objective: To study the clinical diagnosis and treatment of eosinophilic gastroenteritis. Methods: Twenty-four patients with eosinophilic gastroenteritis who were admitted from September 2013 to September 2015 in our hospital were selected as the research objects. The clinical data of patients were collected and analyzed, and their clinical diagnosis and treatment were analyzed. Results: Eighteen mucosal types, two serosal types and four muscular stratums. The numbers of eosinophils in peripheral blood and bone marrow increased. Endoscopy showed no specificity, the majority of mucosal effusion, scattered bleeding or blood spots, superficial ulcers; eosinophilic infiltration can be seen by biopsy. Take hormone therapy can effectively improve the symptoms. Conclusion: The clinical manifestations of eosinophilic gastroenteritis and endoscopy are not obvious. The increase of eosinophils in peripheral blood in clinical diagnosis is the key. Hormone therapy after diagnosis can achieve good results.