CAJ | 학술논문

目的探讨腹型过敏性紫癜的临床特点,提高对本病的认识和早期诊断水平.方法回顾性分析6例腹型过敏性紫癜患者的临床资料.结果 6例患者均以消化道症状为首要表现就诊,伴恶心、呕吐3例,腹泻1例,呕血和便血1例.实验室检查发现白细胞计数升高3例,血尿淀粉酶升高1例,最初诊断急性胃肠炎3例,急性胰腺炎1例,消化道出血(可疑为出血性坏死性肠炎)1例,急性阑尾炎1例.入院后2～6 d出现皮肤紫癜而得到确诊,治疗后全部患者痊愈出院,无并发症.结论腹型过敏性紫癜缺乏特异性临床表现,给正确的诊断带来困难,掌握本病的临床特点,提高对本病的认识有助于获得早期正确的诊断.
목적 탐토복형과민성자전적림상특점,제고대본병적인식화조기진단수평.방법 회고성분석6례복형과민성자전환자적림상자료.결과 6례환자균이소화도증상위수요표현취진,반악심、구토3례,복사1례,구혈화편혈1례.실험실검사발현백세포계수승고3례,혈뇨정분매승고1례,최초진단급성위장염3례,급성이선염1례,소화도출혈(가의위출혈성배사성장염)1례,급성란미염1례.입원후2～6 d출현피부자전이득도학진,치료후전부환자전유출원,무병발증.결론 복형과민성자전결핍특이성림상표현,급정학적진단대래곤난,장악본병적림상특점,제고대본병적인식유조우획득조기정학적진단.
Objective To investigate the clinical features of patients with abdominal type Henoch-Schonlein putpura (HSP).Methods The clinical data of 6 cases of HSP with gastrointestinal involvement were retrospectively analyzed. Results All patients complained of abdominal pain and other clinical manifestations included nausea/vomiting(3 cases),diarrhea (1 case), alimentary tract hemorrhage (1 case), elevated WBC count in peripheral blood (1 case) and elevated blood/urine amylase (1 case).All cases received non-operative therapy and discharged from the hospital after their recovery. Conclusions The abdominal-type HSP patients have no typical clinical manifestation and usually were misdiagnosed, and more attention paid to this disease would conduce to the diagnosis in the early stage.