摘要
目的探讨腹型过敏性紫癜的临床特点与患儿胃镜表现。方法将2002年1月～2006年1月我科收治的24例腹型过敏性紫癜患儿的临床特点与部分胃镜表现进行回顾性分析。结果24例患儿均有腹部疼痛,腹痛部位多变而不固定。症状严重,而腹部体征轻微,54.2%的患儿伴恶心、呕吐,50%的患儿呕血、便血,大便潜血全部阳性。腹痛发生后2～10d出现下肢紫癜。10例胃镜检查,可见胃肠黏膜出血、水肿,出血点糜烂、溃疡,以十二指肠黏膜病改变严重,食管黏膜正常。解痉剂和抗酸药物治疗无效,糖皮质激素有效。结论腹型过敏性紫癜患儿的胃肠黏膜广泛存在大小不一的出血点和多发性溃疡,腹痛剧烈而部位多变,腹部体征轻微,是其临床的特点之一。
Objective To investigate the clinical characteristic and gastroscope manifestations of abdominal type anaphylactoid purpura in children.Methods The clinical characteristic and gastroscope manifestations of patients with abdominal type anaphylactoid purpura in hospital（from Jan.2002 to Jan.2006） were analyzed retrospectively.Results All of the 24 patients had abdominal pain in indefinite sites,severe sydrome but mild abdominal objective signs.58.3% patients had vomits and 50% had hematochezia and aematemesis,the occult blood test was positive in all patients.Purpura was found in 2-10 days after the presentation of abdominal pain.Gastroscopic features of 10 cases included bleeding,edema,bleeding spots erosion and ulceration on the gastrointestinal mucosa.Lesions were severer in duodenal mucosa while the esophagus mucosa was normal.Glococorticoids were the especially effective medicine in its treatment while those agents for relieving spasm or antacids were ineffective.Conclusion Many scattered bleeding spots and ulcers on the gastrointestinal mucosa are the most important findings in abdominan type anaphylactoid purpura patients.The very severe abdominal pain in indefinte sites and mild abdominal objective signs are the important charateristic feature of abdominal type anaphylactoid purpura.
出处
《华中医学杂志》
2009年第2期92-93,共2页
Central China Medical Journal
关键词
过敏性紫癜
胃镜检查
回顾性研究
Anaphylactoid purpura
Gastroscopy
Retrospective studies
