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目的探讨木村病的临床特点、临床诊断以及临床治疗。方法分析房山区第一医院2009-02诊断治疗的木村病患者1例的临床资料。结果木村病青、中年男性多见,一般病程较长,临床主要表现为颌下、腮腺及耳后区的慢性无痛性肿块,同时伴外周血嗜酸性粒细胞明显增高,占白细胞总数的28%~65%。组织病理学以淋巴细胞浸润、血管增生及局部嗜酸性粒细胞浸润为特点,手术、放射和类固醇激素治疗有效,预后较好。结论木村病为罕见病,加强对其诊断的认识,可以得到有效的治疗。
Objective To explore the clinical features, clinical diagnosis and clinical treatment of Kimura disease. Methods The clinical data of 1 patient with Kimura disease who were diagnosed and treated in 2009-02 by the First Hospital of Fangshan District were analyzed. Results Kimura disease, middle-aged men more common, longer duration, the main clinical manifestations of submandibular, parotid gland and the posterior region of the chronic painless mass, accompanied by peripheral blood eosinophils was significantly increased, the total number of leukocytes 28% ~ 65%. Histopathology with lymphocyte infiltration, vascular proliferation and local eosinophil infiltration is characterized by surgery, radiation and steroid treatment effective and good prognosis. Conclusion Kimura disease is a rare disease, to enhance awareness of its diagnosis, can be effectively treated.