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目的:探讨儿童过敏性紫癜(HSP)的胃镜表现及临床特点,为早期诊断提供重要的参考。方法:回顾性分析我院在2011年5月到2013年5月收治的47例过敏性紫癜患儿的临床资料,观察患儿的胃镜表现和临床特点两个方面的内容。结果:47例患儿中,均存在不同程度的消化道症状,且多以腹痛为主,胃镜下患儿的消化道黏膜表现为充血、水肿、多发性糜烂灶、点片状出血斑、溃疡,病变最为严重的是在患儿的十二指肠中的降部。结论:过敏性紫癜的胃镜表现和临床均呈现出一定的特点,医生在诊断的过程中,可以参照这两个方面的内容,从而有效减少误诊率,而且还能为腹部病变情况的了解和治疗提供重要的帮助。
Objective: To investigate the gastroscopic features and clinical characteristics of Henoch-Schonlein purpura (HSP) in children and provide an important reference for early diagnosis. Methods: The clinical data of 47 cases of children with Henoch-Schonlein purpura who were treated in our hospital from May 2011 to May 2013 were retrospectively analyzed. The contents of gastroscopy and clinical features in children were observed. Results: In 47 cases, there were different degrees of gastrointestinal symptoms, and mostly abdominal pain, gastroscopy in children with gastrointestinal mucosa showed congestion, edema, multiple lesions, patchy bleeding spots, ulcers , The most serious lesions in the descending part of the duodenum in children. Conclusions: Gastroscopy and clinical manifestations of Henoch-Schonlein purpura show certain characteristics. Physicians can refer to these two aspects in the process of diagnosis, so as to effectively reduce the rate of misdiagnosis, but also to understand and treat the situation of abdominal lesions Provide important help.