摘要
目的:探讨具有腹痛表现的过敏性紫癜患儿的临床特点。方法:对120例明确诊断为过敏性紫癜并伴有腹痛的患儿的临床资料进行回顾性分析。结果:以腹痛为唯一首发症状的过敏性紫癜患儿26例(21.7%),此外,伴呕吐32例(26.7%),便血70例(58.3%),皮肤紫癜108例(90.0%),关节肿胀73例(60.8%),并发肠套叠6例(5.0%),尿蛋白阳性15例(12.5%)。行胃镜检查79例,主要病变部位为胃及十二指肠黏膜受累,部分合并幽门螺杆菌感染。结论:过敏性紫癜临床表现多样,包括腹痛、便血及呕吐等消化道症状以及关节肿胀,部分以腹痛为早期唯一表现的患儿易出现误诊,对于具有腹痛症状而常规检查未能明确病因者应积极行胃镜检查,必要时配合诊断性治疗提高诊断的准确性。
Objective：To investigate the clinical features of Henoch-Schonlein purpura in children with abdominal pain.Methods：To analyze the clinical data about 120 cases of Henoch-Schonlein purpura with abdominial pain symptoms.Results：In all clinical symptoms,abdominial pain was the only first symptoms of 26 cases（21.7%）,other symptoms including vomiting of 32 cases（26.7%）,hematocheiza of 70 cases（58.3%）,skin purpura of 108 cases（90.0%）,joint swell in 73 cases（60.8%）,6 cases（5.0%） complicated with intussusceptions,15 cases（12.5%） with urine protein positive.The main changes in gastric and duodenal mucosal of 79 cases from gastroscope appearance,some patients infected with Helicobacter pylori.Conclusion：Henoch-Schonlein purpura with multiple clinical manifestations,including abdominal pain,hematochezia and vomiting of gastrointestinal symptoms,and joint swell are the main features,abdominal pain is the only symptoms at first of part cases may lead to misdiagnosis.Patients with abdominal pain symptoms and routine inspection failed to diagnosis should actively cooperate with gastroscopy and necessary diagnostic treatment to improve the accuracy of diagnosis.
出处
《儿科药学杂志》
CAS
2018年第2期28-29,共2页
Journal of Pediatric Pharmacy
关键词
过敏性紫癜
腹痛
儿童
临床特点
Henoch-Schonlein purpura
abdominal pain
children
clinical features
