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嗜酸性粒细胞性肉芽肿是一种网状内皮细胞增生性疾病,好发于骨骼。发生在内脏者多见于肺,胃则罕见。1931年Mock氏首先报道本病。我国1963年曾报道一例,至今共报道约55例。我院1981、1982二年中曾遇到三例。例一:男,61岁。反复间歇性上腹部疼痛30余年,伴有反酸、嗳气。疼痛往往在饥饿时发生,进食可缓解。受凉和饮食不当可诱发,“服胃舒平”也可缓解。否认有过敏史。查体及化验:上腹剑突下偏左有深压痛。血红蛋白12g％,红细胞400万/mm~3,白细胞10500/mm~3,中性粒细胞54％,淋巴细胞40％,嗜酸性粒细胞6％,嗜酸性粒细胞绝对值计数900/mm~3。
Eosinophilic granuloma is a reticuloendotheliosis that occurs in bones. Occurrence of viscera is more common in the lungs, and that of the stomach is rare. In 1931 Mock first reported the disease. One case was reported in China in 1963, and about 55 cases have been reported so far. In the second half of the year 1981 and 1982 in our hospital, we encountered three cases. Example 1: Male, 61 years old. Repeated intermittent epigastric pain for more than 30 years, accompanied by acid reflux and hernia. Pain often occurs during hunger and eating can ease. Cold and improper diet can induce, “Serving stomach Shuping” can also ease. Denies history of allergies. Physical examination and laboratory tests: There is deep tenderness on the left side of the xiphoid abdomen. Hemoglobin 12g%, red blood cells 4 million/mm~3, leukocytes 10500/mm~3, neutrophils 54%, lymphocytes 40%, eosinophils 6%, eosinophil absolute count 900/mm~3 .