52例儿童腹型过敏性紫癜诊疗分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第11卷期数: 2012年01期页码: 28-29 栏目: 临床研究出版日期: 2012-02-28

作者:: 苏琳王晓晔崔华雷; 天津医科大学研究生院

关键词:: ; 腹痛; 紫癜; 过敏性; 诊断; 治疗

文献标志码:: A

摘要:: 目的总结儿童腹型过敏性紫癜的诊疗经验，提高早期诊断率。方法对52例以腹痛为首发症状的腹型过敏性紫癜患儿的发病特点及临床表现进行回顾性分析。结果本组病例有如下临床特点： ①上呼吸道感染是最常见的诱因。②均以腹痛为首发症状，腹部体查无明显腹肌紧张及固定压痛点，腹部体征与腹痛剧烈程度不平行。③皮肤紫癜多于48h内出现，皮肤紫癜出现后可以明确诊断，经激素等综合治疗后，52例患儿1～3d腹痛明显缓解；皮肤紫癜出现前，需及时行内镜及腹部B超等检查，综合分析临床特点，反复评估病情。结论提高对腹型紫癜的认识，详细询问病史及全面体查，并结合合理的辅助检查，可以及早诊断本病，从而给予早期治疗。

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