过敏性紫癜腹型的胃镜表现  

Endoscopic Manifestation of Allergic Purpura (Abdominal type)

作　　者：王晓东 王孟春[2] 孙思予[2] 孙素云[2] 

机构地区：[1]黑龙江省五常市中医院内窥镜科,150200 [2]中国医科大学第二临床学院内窥镜中心

出　　处：《医学理论与实践》2002年第6期634-635,共2页The Journal of Medical Theory and Practice

摘　　要：目的:探讨过敏性紫癜腹型的胃镜下表现以提高确诊率。方法:回顾分析1年来临床治疗的过敏性紫癜腹型及混合型的胃镜检查结果。结果:1年来经临床治疗的过敏性紫癜腹型及混合型共12例,其中入院前经胃镜检查8例,确诊6例,诊为急性胃粘膜病变,糜烂出血性胃炎各1例。住院患者4例,均诊为过敏性紫癜腹型。结论:过敏性紫癜引起的胃及十二指肠改变与急性胃粘膜病变相似,内镜医生应注意鉴别。因二者治疗存在矛盾,正确的诊断才能指导治疗。Objective: To discuss the endoscopic manifestations of abdominal type of allergic purpura in order to promote its diagnostic rate. Methods: To analyse the endoscopic results 12 cases with allergic purpura abdominal type and mixed type in clinic during one year. Results: From the 12 cases, 8 cases were examed by endoscopy before hospitalization, in which 6 cases were diagnosed as abdominal type of allergic purpura. In the rest two cases, one was diagnosed as acute gastric mucous lesion, the another as erosive and hemorrhagic gastritis. All the four cases in hospital were diagnosed as allergic purpura abdominal type , too. Conclusion : Gastric and duodenal lesions produced by allergic purpura abdominal type are similar to acute gastric membrane lesion. Endoscopic doctor should carefully differentiate them. Only right diagnosis can be conductive to right treatment.

关 键 词：内镜 过敏性紫癜 诊断 

分 类 号：R554.604[医药卫生—血液循环系统疾病]