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目的分析嗜酸粒细胞性胃肠炎的临床表现及误诊原因。方法对7例被误诊的嗜酸粒细胞性胃肠炎患者从临床特点、化验检查、辅助检查以及治疗等方面进行分析,以提高对本病的认识,避免误诊误治。结果7例患者中有6例有明显腹痛,其中3例伴有腹泻,2例伴恶心呕吐,1例伴腹胀,误诊为急性胃肠炎;1例上腹痛向后背部放射误诊为胰腺炎;1例以腹水为主误诊为结核性腹膜炎;后经内镜检查及组织病理活检确诊为嗜酸粒细胞性胃肠炎。结论因嗜酸粒细胞性胃肠炎较少见,对其认识不够,临床表现又无特异性,相关检查不全面,是易导致误诊的原因。
Objective To analyze the clinical manifestations and causes of misdiagnosis of eosinophilic gastroenteritis. Methods 7 cases of misdiagnosed eosinophilic gastroenteritis patients were analyzed in terms of clinical features, laboratory tests, laboratory examinations and treatment so as to improve their understanding of the disease and avoid misdiagnosis and mistreatment. Results Six of the seven patients had obvious abdominal pain. Three of them were associated with diarrhea, two with nausea and vomiting, one with abdominal distension and misdiagnosed as acute gastroenteritis. One case of back pain was retrospectively misdiagnosed as pancreatitis. 1 case of ascites mainly misdiagnosed as tuberculous peritonitis; after endoscopy and histopathological biopsy diagnosed as eosinophilic gastroenteritis. Conclusion Eosinophilic gastroenteritis is rare, its lack of understanding, clinical manifestations and no specificity, the relevant examination is not comprehensive, is easily lead to misdiagnosis.