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目的探讨腹型过敏性紫癜的临床特点,提高诊断的准确率。方法回顾性分析内蒙古医学院附属人民医院2006-2011年49例腹型过敏性紫癜患者中的6例误诊病例。结果误诊为细菌性痢疾2例,急性阑尾炎2例,急性胃肠炎1例,蛔虫症1例。结论腹型过敏性紫癜皮疹症状不典型时易误诊,应详细询问病史,动态观察病情变化,必要时做腹部B超、查血小板计数、出凝血时间,降低误诊率。
Objective To investigate the clinical features of idiopathic purpura and to improve the diagnostic accuracy. Methods Retrospective analysis of 6 cases misdiagnosed in 49 cases of idiopathic purpura from 2006 to 2011 in People’s Hospital Affiliated to Inner Mongolia Medical University. The results were misdiagnosed as bacillary dysentery in 2 cases, 2 cases of acute appendicitis, 1 case of acute gastroenteritis, 1 case of roundworm disease. Conclusion Abdominal allergic purpura rash symptoms are not easily misdiagnosed, history should be asked in detail to dynamically observe the changes in the situation, if necessary, do abdominal B-, check the platelet count, clotting time and reduce the rate of misdiagnosis.