泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE院外电解质K+2.06mmol/L胃镜提示:慢性非萎缩性胃炎伴胆汁反流,胃潴留,动脉血气分析K+<2.0mmol/L,BE-8mmol/L泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE2013/7/19我院腹部CT平扫+增强提示:1、胃壁及所扫肠道壁明显增厚、水肿,以结肠及空肠明显,肠系膜水肿,腹腔积液。2、肝脏多发小囊肿。脾脏内局限性低密度影,小囊肿?3、目前未见胰腺炎征象。4、胆囊切除。肝内胆管轻度扩张。泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGECT平扫泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE动脉期泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE静脉期泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE2626//8/20138/2013我院我院CTCT多期增强扫多期增强扫描描泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGECT影像表现泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE诊断结果??诊断结果??泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE肝脏形态大小未见异常,边缘光整,其内密度欠均匀,肝左叶肝脏形态大小未见异常,边缘光整,其内密度欠均匀,肝左叶见两枚类圆形低密度影,大者约见两枚类圆形低密度影,大者约0.6cm0.6cm位于左外叶,无强化。位于左外叶,无强化。肝内胆管稍扩张,其内未见高密度结石影。胆囊未见显示。脾肝内胆管稍扩张,其内未见高密度结石影。胆囊未见显示。脾脏形态大小尚可,脾脏前份见小圆形低密度影,边界清楚,约脏形态大小尚可,脾脏前份见小圆形低密度影,边界清楚,约0.5cm0.5cm,无明显强化。双侧肾上腺及双肾未见确切异常。膀胱,无明显强化。双侧肾上腺及双肾未见确切异常。膀胱未见充盈,其内见导尿管影,子宫及双侧附件未见确切异常。未见充盈,其内见导尿管影,子宫及双侧附件未见确切异常。直肠、结肠及部分小肠肠管壁明显肿胀增厚,不均匀强化,以直肠、结肠及部分小肠肠管壁明显肿胀增厚,不均匀强化,以升结肠及回盲部肠管为甚,肠系膜水肿,肠系膜血管未见明显升结肠及回盲部肠管为甚,肠系膜水肿,肠系膜血管未见明显异常。腹腔积液,腹腔主动脉旁见多个小淋巴结显示,双侧盆异常。腹腔积液,腹腔主动脉旁见多个小淋巴结显示,双侧盆壁及腹股沟区见多个肿大淋巴结。壁及腹股沟区见多个肿大淋巴结。11、直肠、结肠及部分小肠肠壁明显肿胀增厚,肠系膜肿胀,、直肠、结肠及部分小肠肠壁明显肿胀增厚,肠系膜肿胀,腹腔积液,考虑免疫系统疾病,腹腔积液,考虑免疫系统疾病,SLESLE?炎症性肠病?请结合临?炎症性肠病?请结合临床。双侧盆壁及腹股沟区多个肿大淋巴结。床。双侧盆壁及腹股沟区多个肿大淋巴结。22、肝左叶囊肿。脾脏前份低密度影,脾脏囊肿可能。、肝左叶囊肿。脾脏前份低密度影,脾脏囊肿可能。泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE讨论系统性红斑狼疮泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE系统性红斑狼疮(SLE)部分病例以消化道症状为首发,常被误认消化道疾病。发病可急可缓,临床表现多种多样。早期轻症的患者往往仅有单一的不典型表现,如不早期诊断、治疗,可引起肠穿孔和肠坏死,造成严重后果。泸医附院THEAFFILIATEDHOSPITALOFLUZHOUMEDICALCOLLEGE临床表现SLE以消化道症状为首发表现时,临床表现不典型,易于误诊、漏诊及误治,主要是因为肠系膜血管炎症引起胃肠道血供不足而导致缺血性肠病表现。绝大多数患者以腹痛首发或以腹痛为主要表现,可伴有腹泻、腹胀、恶心、呕吐等,严重者可有消化道出血,甚至发展为肠梗死及肠穿孔等急腹症。但有少数患者以顽固性腹泻...