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目的探讨如何对以腹痛为首发症状的带状疱疹尽可能更早期确诊及治疗,避免误诊误治,缩短病程,降低疱疹后遗神经痛发病率,减轻病人痛苦。方法对11例以腹痛为首发症状的带状疱疹进行临床分析总结。结果发现老年人且合并有慢性病者易发生带状疱疹且疱疹后遗神经痛发病率略高于文献报道,发生疱疹前以腹痛为主诉者,大多被误诊为消化系统疾病。结论认为对以腹痛为首发症状的病人尤其是老年病人就诊时在排除急腹症且对常规治疗疗效不佳时,应考虑是否患有带状疱疹可能,可常规进行血IgG、IgA及跟踪性的血常规化验以及仔细进行动态性的皮肤观察。
Objective To explore how to diagnose and treat herpes zoster as the first symptom of abdominal pain as early as possible, to avoid misdiagnosis and mistreatment, to shorten the course of disease, to reduce the incidence of neuralgia after herpes simplex and to reduce the suffering of patients. Methods 11 cases with abdominal pain as the first symptom of shingles clinical analysis and summary. The results showed that the elderly and complicated by chronic diseases prone to herpes zoster and the incidence of herpes recurrent neuralgia slightly higher than reported in the literature, the occurrence of herpes before the main complaint of abdominal pain, mostly misdiagnosed as digestive diseases. Conclusions: Patients with abdominal pain as the first symptom, especially elderly patients, should be considered whether they have shingles or not, routine blood IgG, IgA, and follow-up when they exclude acute abdomen and have poor curative effect on conventional treatment Blood tests and careful dynamic skin observation.