1992年5月我院血液科收治以嗜酸细胞显著升高的慢性血吸虫病误诊为特发性嗜酸细胞增多症1例,报道如下。临床资料:患者男,33岁。因上腹部隐痛、咳嗽、盗汗症状持续半年,在外院做胃镜检查诊断为慢性浅表性糜烂性胃炎而住院治疗。住院期间,发现肝功能轻度异常,SGPT 97U(赖氏法)。又因干咳、盗汗疑诊肺结核而转传染病院住院80天,以护胃、抗痨、保肝等综合治疗,病情未见好转。病程中从无发热及全身皮疹。否认有疫水接触史,无肝炎病史。半年中多次查血常规均发现嗜酸细胞显著升高,最高1次达0.92,最低1次为0.32。于1992年5月5日收住本院血液科治疗。查体及住院经过:全身情况良好,体温37℃,血压16/10kPa,无蜘蛛痣,全身浅表淋巴结未触及,心肺未见异常,腹壁浅静脉不显露,肝上界在右第5肋间,肝脾肋下均未触及,腹部移动性浊音(一)。血常规:白细胞18.1×10~9/L,中性0.06,淋巴0.05,单核0.01,嗜酸细胞0.88。粪便常规未见虫卵。肝功能:SGPT> 1992 May Department of Hematology admitted to eosinophils significantly increased chronic schistosomiasis misdiagnosed as idiopathic eosinophilia in 1 case, reported as follows. Clinical data: Male patient, 33 years old. Hypertension due to the upper abdomen, cough, night sweats symptoms persist for six months in the hospital for endoscopy diagnosis of chronic superficial erosive gastritis and hospitalization. During hospitalization, mild liver dysfunction was found, SGPT 97U (Lai’s method). And because of dry cough, night sweating Suspected tuberculosis and transferred to Infectious Hospital for 80 days to protect the stomach, anti-tuberculosis, liver and other comprehensive treatment, the condition did not improve. No fever from the course of the whole body rash. Denied a history of exposure to water, no history of hepatitis. Many times in six months to check the blood routine eosinophils were found significantly increased, up to a 0.92, a minimum of 0.32. On May 5, 1992 admitted to hospital hematology treatment. Physical examination and hospitalization: Good general condition, temperature 37 ℃, blood pressure 16 / 10kPa, no spider nevus, systemic superficial lymph nodes not touched, heart and lung no abnormalities, superficial veins not revealed, , Liver and spleen were not touched the ribs, abdominal dullness (a). Blood: WBC 18.1 × 10 ~ 9 / L, neutral 0.06, lymph 0.05, mononuclear 0.01, eosinophilic 0.88. Stool routine no eggs. Liver function: SGPT>