嗜酸粒细胞性腹腔积液误诊报告并文献复习  

Eosinophilic Ascites Misdiagnosis:Case Report and Literature Review

作　　者：朱超慧[1] 吴凯[1] 姚怡 朱建华[1] ZHU Chao-hui;WU Kai;YAO Yi;ZHU Jian-hua(Department of Gastroenterology,the Eighth Medical Center of PLA General Hospital,Beijing 100091,China)

机构地区：[1]解放军总医院第八医学中心消化科,北京100091

出　　处：《临床误诊误治》2020年第10期13-16,共4页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨嗜酸粒细胞性腹腔积液的临床特点、诊断方法、误诊原因及防范措施。方法回顾分析曾误诊的两例嗜酸粒细胞性腹腔积液临床资料,并复习相关文献。结果两例均以腹胀为主要症状,影像学检查均提示腹腔积液,伴血嗜酸粒细胞增多。首诊均误诊为结核性腹膜炎。最终经病理检查确诊为嗜酸粒细胞性腹腔积液,予抗组胺药物治疗后症状消失。结论嗜酸粒细胞性腹腔积液临床罕见,且该病目前尚无明确诊断标准,导致诊断困难;对高嗜酸粒细胞血症并不明原因腹腔积液者需考虑本病。Objective To investigate the clinical characteristics,diagnostic methods,causes of misdiagnosis and preventive measures of eosinophilic ascites(EA).Methods The clinical data of 2 cases of EA misdiagnosed were analyzed retrospectively and the related literature was reviewed.Results Abdominal distension was the main symptom of the 2 patients.The imaging examination showed ascites and eosinophilia.They were initially diagnosed as tuberculous peritonitis,and finally as EA based on pathological examination.After treatment with antihistaminics,the symptoms disappeared.Conclusion EA is rare in clinical practice.Moreover,there is no definite diagnostic criteria for this disease,which leads to the difficulty of diagnosis.For patients with eosinophilia and unknown ascites,this disease should be considered.

关 键 词：胃肠炎 嗜酸粒细胞 腹水 误诊 腹膜炎 结核性 

分 类 号：R573.3[医药卫生—消化系统]