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腹型过敏性紫癜临床特征和误诊的病例系列分析 被引量:3

Analysis of Clinical Features and Misdiagnosis of Abdominal Henoch-Schonlein Purpura
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摘要 目的:探讨儿童腹型过敏性紫癜的临床特征,对其发生误诊原因进行分析。方法:收集35例儿童腹型过敏性紫癜病例,回顾性分析腹型过敏性紫癜患儿临床症状、消化道症状与皮疹出现先后的关系,同时对实验室检查、腹部X线、腹部B超及胃肠镜检查结果进行总结。结果:腹型过敏性紫癜以腹部疼痛为主要临床表现,均出现腹痛,多位于脐周(65.71%),腹部体征与症状不一,多数较轻;血液检查、腹部X线、腹部B超及胃肠镜结果部分可见异常,其中误诊病例9例(25.71%)。结论:腹型过敏性紫癜临床特征缺乏特异性,尽早完善相关辅助检查,有利于降低临床误诊率。 Objective:To summarize the clinical features of abdominal Henoch-Schonlein purpura in children and analyze the causes of misdiagnosis. Methods: A total of 35 cases of children with abdominal allergic purpura were collected, and the relationship between clinical symptoms, gastrointestinal symptoms and rash appearance in children with abdominal allergic purpura was retrospectively analyzed. At the same time, laboratory examination, abdominal X-ray, abdominal ultrasound Gastroscopy results are summarized. Results: Abdominal allergic purpura had abdominal pain as the main clinical manifestation, and all had abdominal pain, mostly located around the umbilical cord(65.71%). Abdominal signs and symptoms were different, but most were mild;blood tests, abdominal X-ray, abdominal ultrasound and gastrointestinal abnormal results could be seen in the microscopic results, and 9 cases(25.71%) were misdiagnosed. Conclusion:The clinical signs of abdominal anaphylactoid purpura are lack of specificity and easy to be nisdiagnosed.Early improvement of rele vant auxiliary examination is conductive to reducing the rate of clinical misdiagnosis.
作者 胡绍正 黄雪英 杜红宇 Hu Shaozheng;Huang Xueying;Du Hongyu(Department Jiangmen Central Hospital)
出处 《长治医学院学报》 2020年第4期280-283,共4页 Journal of Changzhi Medical College
关键词 儿童 腹型过敏性紫癜 临床特征 误诊 children hoenoch-schonlein purpura clinical features misdiagnosis
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