青少年Henoch—Schonlein综合症临床X线诊断  

Clinical and Radiographic Diagnosis of Henoch Schnlein Syndrome in 134 Youth

作　　者：于伟利[1] 杨文智[1] 赵仲蓉[1] 刘振堂[1] 杨进全 

机构地区：[1]西安医科大学第二附属医院放射科,海南省人民医院放射科

出　　处：《实用放射学杂志》1995年第3期141-146,共6页Journal of Practical Radiology

摘　　要：本文报告１３４例青少年Ｈｅｎｏｃｈ—Ｓｃｈｏｎｌｅｉｎ综合症，好发于儿童，青年与成年人少见，同时期该症住院儿童４２３例。二者之比约１：３。临床主要症状：１．皮肤紫癜，２．腹部疼痛，３．四肢关节肿痛，４．肾脏病变。在不同病例上述症状可先后，全或部分出现。紫癜出现率最高９７％，腹痛６８％，关节肿痛５７％，肾脏病变４６％。１３４例平均住院日数为２２．２ｄ，其中４１ｄ以上者３３例，多为病情严重或有并发症。临床上有时误诊为急腹症或肠炎。Ｘ线检查包括腹部平片２３例，胃肠钡剂造影１９例，腹部平片无特殊，为一般肠梗阻或穿孔征像。胃肠钡剂造影，小肠改变最为常见而明显，主要表现为肠粘膜皱襞粗大，边缘呈不规则踞齿状，肠腔狭窄，病变广泛而变化快。一般３周左右即可恢复正常。Ｘ线常可确诊。This paper reported 134 youth with Henoch Schonlein Syndrome which offects child pre-dominently and is not common in youth and adult.Child inpatient was 423 cases in the ratio of one to three in the same period. The primary clinical features were :1.purpuric skin lesion(97%);2.abdominal pain(68%);3 jointswelling and pain(57%);4.renal damage(4).The mainfestations listed above appeared different in order of emergence and content in different patients.The mean day in the hospital was 22.2 days ,and in 33 cases above 41 days ,paticnt’s condition were serious or had complications ,and sometimes were misdiagnosed for acute abdominal disease or enteritis clinically. The radiographic examinations:a plain film of abdomen (23 cases)showed features of intestinal obdtrac- tion and perforation, a gastrointestinal series(19 cases)revealed that small bowel was involved mainlv. The changes were characterized by irregular thickening of the mucosal folds and narrowing of the bowel lu- men. The lesion was extensive and changed fast.Generally ,the radiographic changes were recovered to nor- mality in three weeks. The syndrome commonly were diagnosed by radiographic features.

关 键 词：过敏性 紫癜 X线诊断 脉管炎 诊断 

分 类 号：R554.604[医药卫生—血液循环系统疾病]