成年人出血性毛细血管中毒病(23例临床分析及文献复习)

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自1808年Willam氏首次报告本病以来,国内外学者关于本病报告不少:Sch(?)nlein氏(1837)报告紫癜伴有关节表现,Henoch氏(1874)报告紫癜伴有腹部表现。近年国内较大宗病例报告计有:郑氏52例,孟氏34例,崔氏25例,都氏9例,陆氏10例,彭氏22例,而张氏7例则均伴发肾炎。但华南地区尚无此项报导。由于本病临床表现的多样性,首发症状亦多变,可导致临床医师误诊为风湿性关节痛、急性胃肠炎、出血性肠炎等,甚至有因误诊阑尾炎而作切除术者。本文就本院第一附属医院自1956年6月至1963年3月问确诊为出血性毛细血管中毒病共23例,报告于后。 Since the Willam’s first report of the disease in 1808, many scholars have reported this disease: Sch (?) Nlein’s (1837) reported that purpura was associated with joint manifestations and Henoch’s (1874) reported that his purpura was associated with abdominal manifestations. In recent years, a large number of cases reported in China are: 52 cases of Zheng, Monteggia 34 cases, Cui 25 cases, 9 cases of Du, 10 cases of Lu, Peng 22 cases, while Zhang were 7 cases were associated with nephritis. However, there is no such report in southern China. Due to the diversity of the clinical manifestations of the disease, the first symptoms are also changing, can lead to clinicians misdiagnosed as rheumatoid arthritis, acute gastroenteritis, hemorrhagic enteritis, and even misdiagnosed as appendicitis and resection. This article on the First Affiliated Hospital of our hospital from June 1956 to March 1963 asked were diagnosed as hemorrhagic capillary poisoning, a total of 23 cases reported later.
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