摘要
目的探讨成人腹型过敏性紫癜的内镜特征及临床特点,为该病的早期诊断提供依据。方法对32例成人腹型过敏性紫癜的临床及内镜资料进行回顾性分析。结果本组病例均以腹部绞痛起病,50%的患者伴呕吐,31.2%的患者伴便血,25%的患者伴呕血,粪潜血全部阳性。腹痛发生2-10天后出现下肢紫癜。临床误诊率为78.1%。内镜提示病变部位以十二指肠、回肠末端多见,食管黏膜正常。病变黏膜充血肿胀,多发出血点、红斑、糜烂、溃疡。结论了解成人腹型过敏性紫癜的临床及内镜特征有助于提高首诊诊断率。
Objective To evaluate the endoscopic and clinical manifestations of abdominal type allergic purpura in adult patients as the evidences of reaching early diagnosis. Methods The clinical and endoscopic manifestations of 32 patients with abdominal type allergic purpura were analyzed retrospectively. Results All the patients complained of paroxysmal abdominal colic. 50% patients complained of vomiting, 31.2% patients had hematochezia, 25% patients had haematemesis, the occult blood test was positive in all patients. Purpura was found in 2-10 days after the presentation of abdominal pain. The clinic misdiagnosis rates were 78.1%. Duodenal and ileum had more severe mucous lesions, but the esophageal mucosa in all patients were normal. Endoscopy found hyperaemia, edema, bleeding spots, erosion and ulcer in gastroenterologic mucosa. Conclusion Familiar with the clinical and endoscopic characteristics of adult henoch-schonlen purpura with gastrointestinal involvement is essential for the early diagnosis of the disease.
出处
《罕少疾病杂志》
2014年第2期34-36,共3页
Journal of Rare and Uncommon Diseases
关键词
过敏性紫癜
临床特点
内镜检查
诊断
Allergic purpura
Clinic manifestation
Endoscopy
Diagnosis
