2例不同临床分型嗜酸性粒细胞性胃肠炎患者反复发作的临床特点分析

Clinical Analysis of Recurrent Episodes of Eosinophil Gastroenteritis in 2 Patients with Different Clinical Type

摘要: 嗜酸性粒细胞性胃肠炎(eosinophilic gastroenteritis, EG)是一种临床症状及内镜表现多样化、病因不十分明确的原发性嗜酸粒细胞性胃肠道疾病(EGID)，不同类型的EG患者有不同的临床表现，如腹痛、腹水等，其临床表现取决于肠壁内嗜酸细胞浸润的深度，EG的年龄分布广泛，以30~50岁多见，男性多于女性。本文选取了我院2020年2~4月份接诊的2例不同临床表现及分型的EG年轻患者进行报道，患者经治疗后均短期内好转出院，后再次反复发作就诊治疗，遂结合相关的文献对不同类型EG患者的临床特点及诊治预后进行分析总结，进一步加深临床医生对此病的认识与总结，提高本病的确诊率，降低误诊率及复发率。

Abstract: Eosinophilic gastroenteritis is a primary eosinophilic gastrointestinal disease with diverse clinical symptoms and endoscopic manifestations and unclear etiology. Different types of EG patients have different clinical manifestations. The clinical manifestation depends on the depth of eosinophil infiltration in the intestinal wall. EG age distribution is widespread, with more males than females in the range of 30~50 years. In this paper, two young patients with different clinical manifestations and types of EG admitted to our hospital from February to April 2020 were selected and reported. After treatment, the patients were improved and discharged in a short period of time, and repeated attacks after discharge. Therefore, combined with the relevant literature, the clinical characteristics, diagnosis, treatment and prognosis of different types of EG patients were analyzed and summarized to further deepen the understanding and summary of the disease by clinicians, improve the diagnosis rate of the disease, and reduce the misdiagnosis rate and recurrence rate.