CAJ | 학술논문

目的：探讨儿童腹型过敏性紫癜(HSP)的临床特点及误诊情况，提高对该病的认识。方法收集本院2010年1月~2014年8月住院的HSP患儿的临床资料，对其进行归纳和分析。结果297例(100%)HSP患儿均出现皮疹，其中34例皮疹不典型，合并消化道症状诊断为腹型HSP189例(64%)，腹型组中136例患儿以皮肤紫癜首发，所有腹型HSP患儿均有腹痛，部分患儿合并消化道出血、呕吐、腹泻，患儿消化道症状重，腹部体征轻，1例合并肠穿孔，另2例合并肠套叠。52例患儿行胃镜检查：黏膜主要表现为充血、水肿、出血点、溃疡。结论以消化道症状首发的腹型HSP容易被误诊，尽早行内镜检查对早期诊断、治疗有一定的帮助。
목적：탐토인동복형과민성자전(HSP)적림상특점급오진정황，제고대해병적인식。방법수집본원2010년1월~2014년8월주원적HSP환인적림상자료，대기진행귀납화분석。결과297례(100%)HSP환인균출현피진，기중34례피진불전형，합병소화도증상진단위복형HSP189례(64%)，복형조중136례환인이피부자전수발，소유복형HSP환인균유복통，부분환인합병소화도출혈、구토、복사，환인소화도증상중，복부체정경，1례합병장천공，령2례합병장투첩。52례환인행위경검사：점막주요표현위충혈、수종、출혈점、궤양。결론이소화도증상수발적복형HSP용역피오진，진조행내경검사대조기진단、치료유일정적방조。
Objective To analyze the clinical charscteristics and misdiagnosis of abdominal type Henoch-Sch o nlein purpura (HSP). Methods The clinical data of patients with Henoch-Schonlein purpura from January 2010 to August 2014 in our hospital was induced and analyzed. Results 297 patients (100%) had skin rash,among them,34 patients had no typical skin rash.For patients complicated with gastrointestinal symptom,189 (64%) were diagnosed as abdominal type HSP,136 cases of abdominal type HSP had the onset clinical manifestation of skin purpura.All patients of abdomi-nal type HSP had abdominal pain,some patients had digestive tract hemorrhage,vomiting and diarrhea,digestive tract symptom of patients is severe,abdominal sign is light,1 case occurred intestinal perforation,2 case s occurred intussus-ception.Endoscopy of 52 cases displayed that mucosal manifestations was mainly hyperemia,edema,hemorrhage point, ulcer. Conclusion Abdominal type HSP with gastrointestinal system was easily misdiagnosed,early endoscopy for early diagnosis,treatment had some help.