论文部分内容阅读
过敏性紫癜并发肠套叠临床上极少见,极易误诊并延误治疗,现报道2例。例1:女,13岁。因皮肤紫癜3天、腹痛10小时入院。查体:痛苦貌,皮肤散住淤斑、点,以双下肢伸侧为著。心肺无异常。腹平软,脐区压痛,无反跳痛,肝脾肿大。未触及异常包块,肾区轻叩痛,肠鸣音增强,关节无肿胀。诊为过敏性紫癜予以扑尔敏,氟美松等治疗3天,皮肤紫癜渐消退,但腹痛加重,
Henoch-Schonlein purpura complicated intussusception clinical very rare, easily misdiagnosed and delayed treatment, are reported in 2 cases. Example 1: Female, 13 years old. Due to skin purpura 3 days, abdominal pain 10 hours admitted. Physical examination: painful appearance, eczema scattered spots, point to the lower limb extensor. No abnormal heart and lung. Abdomen soft, umbilical tenderness, no rebound pain, hepatosplenomegaly. No palpable mass, renal area of light tapping pain, bowel enhancement, no joint swelling. Diagnosis of allergic purpura to chlorpheniramine, dexamethasone and other 3 days of treatment, skin purpura gradually subsided, but increased abdominal pain,