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例1,男性,47岁.因上腹疼痛伴反酸4年,加重2月就诊。查体:仅见剑突下压痛。血白细胞总数为8.1×10~9/L,嗜酸性细胞0.08。胃镜检查见胃底、胃体、胃窦粘膜广泛充血、水肿、糜烂。胃窦区见圆形增殖区.十二指肠球部见一溃疡。活检示胃体、胃窦粘膜大量嗜酸性细胞浸润.诊断:①嗜酸性胃炎,②十二指肠球部溃疡.
Example 1, male, 47 years old due to abdominal pain with acid 4 years, increased in February treatment. Physical examination: only see the xiphoid tenderness. The total number of white blood cells was 8.1 × 10 ~ 9 / L, eosinophils 0.08. Gastroscopy see the fundus, stomach, gastric mucosa extensive congestion, edema, erosion. See antral sinusoidal proliferation area. Duodenal ulcers see a ball. Biopsy showed gastric body, a large number of gastric mucosa eosinophil infiltration. Diagnosis: ① eosinophilic gastritis, ② duodenal ulcer.