本文报告坏死增生性淋巴结病13例。本病是一种新近认识的独立性疾病,经过此次进一步观察,认为本病是炎性免疫反应性疾病,在病理上虽皆有坏死性改变,但有轻重之分。13例中有7例是以坏死碎片为主,6例以组织细胞增生为主。临床上局部症状远较全身症状为轻,约半数病例呈多脏器受累,且多次缓解复发,表现为明显的变应性疾病样改变,致使临床复杂多端,病程迁延等均可能与本病患者的暂时性细胞免疫功能异常或低下有关。本病在成人内外科是绝非少见的疾病,建议今后应将本病列入淋巴结肿大性疾病的鉴别诊断中去。 This article reports 13 cases of necrotizing lymphadenopathy. The disease is a newly recognized independent disease, after further observation, that the disease is an inflammatory immune reaction disease, although there are pathological changes in necrosis, but there is distinction between the severity. Of the 13 cases, 7 were mainly necrotic fragments, and 6 were mainly of histiocytosis. Local symptoms are far more clinical symptoms than light, about half of cases were multiple organ involvement, and repeatedly relieve recurrence, manifested as obvious Allergic disease-like changes, resulting in clinical complex and multi-terminal, duration of the disease may be associated with the disease Patients with temporary cellular immune function abnormalities or low related. The disease is not a rare disease in adults, surgery, it is recommended that the disease should be included in the differential diagnosis of swollen lymph nodes in the future.