论文部分内容阅读
目的研究以腹痛起病的过敏性紫癜的临床及内镜特点,减少对该病的误诊、漏诊率。方法对本院2008～2010年收治的24例腹型过敏性紫癜的临床资料进行回顾性分析。结果该组患者均表现为腹痛,隐血试验阳性、皮疹等,胃镜检查表现为胃十二指肠黏膜损害,肠镜检查表现为肠黏膜充血性红斑、糜烂及不规则浅溃疡,经激素治疗后患者症状缓解。结论腹型过敏性紫癜易误诊,内镜检查对腹型HSP起重要作用,激素治疗对HSP治疗起重要作用。
Objective To study the clinical and endoscopic features of anaphylactoid purpura with onset of abdominal pain and to reduce the misdiagnosis and misdiagnosis rate of the disease. Methods The clinical data of 24 cases of idiopathic purpura from 2008 to 2010 in our hospital were analyzed retrospectively. Results The patients showed abdominal pain, positive occult blood test, rash, etc. Gastroscopy showed gastroduodenal mucosal damage, colonoscopy showed intestinal mucosal erythema, erosion and irregular shallow ulcer after hormone therapy Patients with symptoms relieved. Conclusions Abdominal allergic purpura is easy to be misdiagnosed, endoscopy plays an important role in abdominal HSP, and hormone therapy plays an important role in the treatment of HSP.