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腹型过敏性紫瘫,特别是以腹痛为首发症状者,早期诊断不易,容易误诊。我院自1989年以来收治腹型过敏性紫癜40例,误诊13例。现将误诊原因分析如下。 临床资料 本组男7例,女6例,均为农民。年龄6~64岁,<20岁11例。误诊时间最短3天,最长14天。 误诊病种为肠蛔虫症3例,急性胃肠炎2例,急性阑尾炎2例,急性肠系膜淋巴结炎2例,急性菌痢1例,急性胆囊炎1例,伤寒1例,出血性小肠炎1例。
Abdominal allergic purple paralysis, especially in patients with abdominal pain as the first symptom, early diagnosis is not easy, easy misdiagnosis. Our hospital since 1989, 40 cases of abdominal Henoch-Schonlein purpura, misdiagnosed in 13 cases. Misdiagnosis is now analyzed as follows. Clinical data The group of 7 males and 6 females, all farmers. Age 6 to 64 years old, <20 years old in 11 cases. Misdiagnosis of the shortest 3 days, up to 14 days. Misdiagnosis of the disease as intestinal roundworm disease in 3 cases, 2 cases of acute gastroenteritis, acute appendicitis in 2 cases, acute mesenteric lymphadenitis in 2 cases, acute bacillary dysentery in 1 case, acute cholecystitis in 1 case, typhoid fever in 1 case, hemorrhagic enteritis 1 example.