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胃嗜酸性肉芽肿是一种少见的良性疾病,但近年来有增多趋势,临床上溃疡病合并嗜酸性肉芽肿约为1.7％,其诊断和治疗问题引起医务人员重视。1981年2月至1985年9月,我院收治7例,现报告并分析如下。临床资料本组男6例,女1例。年龄最小19岁,最大76岁,平均53.2岁。临床表现:间歇性上腹隐痛7例,其中伴有返酸、暖气6例,黑便4例,呕血3例,纳差、消瘦3例,血中嗜酸性细胞增高4例。病史最长达30年,最短2个月。本组7例均行上消化道钡餐检查,发现胃巨大溃疡(直径大于2.5cm)5例,充盈缺损和小溃疡1例,充盈缺损1例。本组4例行胃镜检查及活检,3例为慢性浅表性胃炎,1例胃嗜酸性肉芽肿。本组术前误诊为胃癌4例,胃溃疡病1例,胃
Gastric eosinophilic granuloma is a rare benign disease, but in recent years there has been an increasing trend. Clinically ulcerative disease complicated with eosinophilic granuloma is about 1.7%. The diagnosis and treatment problems cause medical staff to pay attention. From February 1981 to September 1985, 7 cases were treated in our hospital. The present report is reported and analyzed as follows. The clinical data of this group were 6 males and 1 female. The youngest is 19 years old and the oldest is 76 years old with an average age of 53.2. Clinical manifestations: intermittent epigastric pain in 7 cases, including acid reflux, heating in 6 cases, black stool in 4 cases, vomiting in 3 cases, anorexia, weight loss in 3 cases, increased blood eosinophils in 4 cases. The history is up to 30 years and the shortest 2 months. In this group, 7 patients underwent examination of barium meal in the upper digestive tract and found 5 cases of huge gastric ulcer (diameter greater than 2.5cm), 1 case of filling defect and small ulcer, and 1 case of filling defect. In this group, 4 cases underwent gastroscopy and biopsy, 3 cases of chronic superficial gastritis, 1 case of gastric eosinophilic granuloma. This group was misdiagnosed as gastric cancer in 4 cases, gastric ulcer in 1 case, stomach