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胃肠道的嗜酸性肉芽肿可以发生在消化道的任何部位,但以胃和小肠为多,小肠又以回肠多见[刘开风等,中华肿瘤杂志 2(1):69,1980]。发生在肠道者则往往并发肠套叠,我们于1981年8月11日曾收治一例,兹报告如下。患者男,70岁。因腹部不适伴有排便不畅10天,近5天来腹痛加剧,恶心呕吐,不排便而入院。1月前曾患“肠炎”,否认脓血便史。体查发育正常,营养佳,周身浅表淋巴结不大,心肺正常,腹部胀满,可见肠形,未见蠕动波,全腹具明显压痛、肌紧张及反跳痛,未扪及明显肿块,肠音消失,腹部移动性浊音阳性,震水音阳性。实验室检查,血红蛋白13克,白细胞总数10,600,嗜中性粒细胞71％,淋巴细胞29％,钾离子3.25mEq,钠离子144mEq,氯化物104mEq,二氧化碳结合力32.4ml％。腹部透视左侧腹及下腹部见有肠管扩张充气,并可见阶梯状排列之多个液平面。临床诊断:绞窄性肠梗阻?
Eosinophilic granulomatosis of the gastrointestinal tract can occur in any part of the digestive tract, but the stomach and small intestine are more, and the small intestine is more common in the ileum [Liu Kaifeng et al., Chinese Journal of Oncology 2(1): 69, 1980]. Occurrences in the intestines are often complicated by intussusception. We received one case on August 11, 1981. We hereby report the following. Male patient, 70 years old. Due to abdominal discomfort associated with poor bowel movement for 10 days, abdominal pain worsened in the past 5 days, and nausea and vomiting were not admitted. 1 month ago had suffered from “enteritis”, denied the history of pus and blood. Normal physical examination, good nutrition, superficial lymph nodes around the body, normal heart and lung, abdominal fullness, visible intestine shape, no peristaltic wave, full abdominal tenderness, muscle tension and rebound tenderness, no palpable mass, The bowel sound disappeared, the abdomen moved dullness positive, and the water sound was positive. Laboratory tests included 13 grams of hemoglobin, 10,600 white blood cells, 71% of neutrophils, 29% of lymphocytes, 3.25 mEq of potassium ions, 144 mEq of sodium ions, 104 mEq of chlorides, and 32.4 ml % of carbon dioxide binding force. The abdomen is seen through the left abdomen and the lower abdomen with inflated intestines and a number of fluid levels in a ladder-like arrangement. Clinical diagnosis: strangulated intestinal obstruction?