电子胃镜在儿童腹型过敏性紫癜的早期诊断价值

Early Diagnostic Value of Gastroscope in the Anaphylactoid Purpura Abdominalis

目的探讨儿童腹型过敏性紫癜的胃镜表现,为早期诊断提供依据。方法对29例以腹痛为首发症状的过敏性紫癜患儿进行胃镜检查,观察其胃、十二指肠黏膜病变特点。其中15例于胃窦部及十二指肠病变部位取黏膜组织行病理检查。结果胃镜检查显示胃和十二指肠黏膜呈现不同程度的充血、水肿、糜烂甚至溃疡,以十二指肠降部病变为著,食管黏膜未见异常。病理结构显示胃窦及十二指肠黏膜上皮细胞间可见中性粒细胞、淋巴细胞等浸润,十二指肠黏膜小血管扩张明显伴淤血及出血。结论胃镜检查对腹型过敏性紫癜具有早期诊断价值。

Objective To investigate appearance of gastroscope in the anaphylactoid purpura abdominalis in order to offered a guide for early diagnosis. Methods 29 cases diagnosed anaphylactoid purpura abdominalis were examined by gastroscope. Mucosal lesions of stomach and duodenum were observed. Gastric antrum and duodenal mucosal lesions tissues of 15 cases were examined by pathological method. Results The gastroscope appearance of stomach and duodenal mucous are congestive, swelling, dissipated and even ulcer, Mucosal lesions become more serious in the descending duodenum. The oesophageal mucous is normal, pathology study showed a lot of neutrophils and lymphocytes infiltration in mucosal membrane on stomach and duodenum. Little vas in mucosal membrane on duodenum were distended with gore and bleeding. Conclusion Gastroscope offered early diagnostic value in the anaphylactoid purpura abdominalis.