CT和B超在诊断腹型过敏性紫癜中的临床应用  

Clinical Application of CT and Ultrasonography in Abdominal Henoch-Schonlein Purpura

作　　者：何玉成[1] 黄忠雄[1] 胡六才[1] 李姝毅[1] 曹剑[1] 卢芳华[1] 谢俊涛[1] 尹朝晟[1] 

机构地区：[1]郴州市第一人民医院放射科,湖南郴州423000

出　　处：《实用放射学杂志》2010年第8期1128-1130,共3页Journal of Practical Radiology

摘　　要：目的 探讨急诊CT和B超在诊断腹型过敏性紫癜中的临床应用.方法 回顾性分析本院25例临床诊断为腹型过敏性紫癜病人的腹部CT和B超（23例）表现.年龄4～76岁不等,男16例,女9例,所有病例均以急性腹痛表现入院,腹痛前均有皮肤出血斑,21例儿童病例有血便史.结果 CT和B超表现为单节段或多节段肠壁水肿增厚、肠腔狭窄、肠系膜淋巴结肿大、肠系膜水肿及腹水.结论 CT和B超检查对腹型过敏性紫癜的诊断有较大的帮助.Objective To evaluate the clinical application of CT and ultrasonography in Henoch--Schonlein purpura（ HSP）. Methods CT and ultrasonography findings of HSP in 25 patients confirmed by clinic were retrospectively analyzed. There were 16 males and 9 females, the age ranged from 4 months to 76 years old. All patients was hospitalized because of acute abdominal emergency and there were skin rashes and subcutaneous hemorrhage before acute abdominal ache,21 children had hemafecia. Results CT and ultrasonography showed intestinal wall thickening in multiple or single segments of bowel, intestinal narrowing, mesenteric lymphadenopathy,mesenteric edema and ascites. Conclusion CT and ultrasonography are very helpful in diagnosing HSP.

关 键 词：腹部 过敏性紫癜 体层摄影术 X线计算机 超声 

分 类 号：R554.6[医药卫生—血液循环系统疾病] R814.42[医药卫生—内科学]