以小肠穿孔为表现的嗜酸粒细胞性胃肠炎1例  

Eosinophilic gastroenteritis manifesting as small intestinal perforation:a case report

作　　者：徐大海[1] 廖锦文 赵伟[1] XU Dahai;LIAO Jinwen;ZHAO Wei(不详)

机构地区：[1]简阳市人民医院消化内科,四川简阳641400

出　　处：《中国中西医结合消化杂志》2021年第1期64-67,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：嗜酸粒细胞性胃肠炎属于原发性嗜酸粒细胞性胃肠道疾病,是以胃肠道组织中嗜酸粒细胞异常浸润为主要病理组织特征,伴有外周血嗜酸粒细胞增多的少见胃肠道疾病[1]。可累及整个消化道,好发于胃和小肠[2]。该病因临床表现多样化,缺乏特异性,故误诊率较高。本研究收治1例嗜酸粒细胞性胃肠炎患者,以反复腹痛、小肠穿孔为主要症状就诊。现报道其临床资料、临床表现及治疗经验,供临床借鉴。In this study, a male patient underwent surgical treatment because of small intestinal perforation for two times, but his abdominal pain was still repeated after surgery. It was confirmed that eosinophiliosis caused small intestinal perforation. With hormone treatment, his abdominal pain was relieved. The patient were followed up for 3 years, occasionally with abdominal pain, and no small intestinal perforation occurred again. In addition to the common causes of small intestinal perforation, eosinophilic gastroenteritis should be considered. Clear the cause of disease as early as possible, and targeted at the cause of treatment, so as to reduce the pain and economic burden of the patients.

关 键 词：小肠穿孔 嗜酸粒细胞性胃肠炎 

分 类 号：R573[医药卫生—消化系统]