以腹痛为首发症状的31例儿童过敏性紫癜临床分析

摘要

目的：探讨以腹痛为首发症状的儿童过敏性紫癜（ HSP）的临床特征和实验室检查特点，为该病早期诊断提供依据。方法回顾性分析我院2011－08～2014－03间收治的31例以腹痛为首发症状的HSP患儿的临床资料，记录患儿临床表现、实验室检查及误诊情况。结果患儿多表现为全腹痛、持续性钝痛、无固定压痛点，实验室检查阳性者较少，且误诊率较高，容易与急性阑尾炎、十二指肠炎等疾病相混淆。结论遇到不明原因以全腹痛、持续性钝痛和无固定压痛点为主且腹部症状与体征不甚符合者，亦无皮疹出现时，应考虑HSP的可能。%Objective To discuss the clinical features and laboratory features of abdominal pain as the first symptom of children with allergic purpura ( HSP) , to provide the basis for early diagnosis of the disease.Methods A retrospective analysis of abdominal pain as the first symptom of 31 children with allergic purpura in the hospital from August, 2011 to March, 2014 was done, the clinical data, laboratory tests and misdiagnosis of 31 cases were recorded.Results Children had more performance of the whole abdominal pain, persistent dull pain, no fixed point of tenderness and less positive laboratory tests, and had the high rate of misdiagnosis with acute appendicitis and duode-nal disease.Conclusion Under unexplained full abdominal pain, persistent dull pain and tenderness without a fixed point-based and less abdominal symptoms and signs, and no rash appearance, possibility of HSP should be considered.