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目的探讨腹型过敏性紫癜的临床表现特点,以提高临床腹型过敏性紫癜的诊断水平。方法回顾性分析38例腹型过敏性紫癜患者病历资料。结果 17例(44.7%)于发病前1~7 d有明确诱因;7例(18.4%)以消化道症状首发,可早于皮损2~21 d出现;38例均出现腹痛;14例(36.8%)腹泻,14例(36.8%)呕吐,10例(26.3%)排黑便,4例(10.5%)排血便,4例(10.5%)呕血。结论腹型过敏性紫癜缺乏早期特异性临床表现,应提高对本病的认识,结合其临床、辅助检查及内镜特点,及时进行早期诊断和治疗。
Objective To investigate the clinical features of idiopathic purpura in order to improve the diagnosis of clinical abdominal hypersensitivity purpura. Methods Retrospective analysis of 38 cases of atypical purpura in patients with medical records. Results Seventeen patients (44.7%) had a definite inducement from the first day to the seventh day before onset. Seven patients (18.4%) started gastrointestinal symptoms earlier than the lesion within 21 days, 38 cases had abdominal pain, and 14 ( 36.8%) had diarrhea, vomiting in 14 cases (36.8%), meconium in 10 cases (26.3%), bleeding in 4 cases (10.5%) and vomiting in 4 cases (10.5%). Conclusions Abdominal hypersensitivity purpura lacks specific clinical manifestations at early stage, so it is necessary to raise awareness of this disease and to make early diagnosis and treatment in time in combination with its clinical features, auxiliary examinations and endoscopic features.