| 摘要: |
| [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。 |
| 关键词: 过敏性紫癜 腹痛 儿童 临床特点 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2018.02.009 |
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| 基金项目: |
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| Clinical Features of Henoch-Schonlein Purpura with Abodominal Pain |
| Wang Yang, Zhang Wei |
| (Maternal and Child Health Hospital of Hubei Province, Hubei Wuhan 430070, China) |
| Abstract: |
| [Abstract]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 reatment to improve the accuracy of diagnosis. |
| Key words: Henoch-Schonlein purpura abdominal pain children clinical features |
