儿童腹型过敏性紫癜与阑尾炎的鉴别诊断  

Differential Diagnosis of Abdominal Allergic Purpura and Appendicitis in Children

作　　者：迟颖[1] 

机构地区：[1]首都儿科研究所附属儿童医院风湿免疫科,北京100020

出　　处：《中国继续医学教育》2016年第7期88-89,共2页China Continuing Medical Education

摘　　要：在临床实际工作中,儿童腹型过敏性紫癜与阑尾炎容易混淆。在本文中,我们选取了2007~2015年4例误诊为阑尾炎的过敏性紫癜患儿的病例,探讨和分析两者在诊断中的异同点。儿童阑尾炎多是右下腹部固定压痛,而腹型过敏性紫癜的疼痛部位多不固定。仔细鉴别其中的异同点,有助于减少误诊和漏诊的发生率,提高临床诊断的有效性。In clinical practice, the abdominal allergic purpura is easily confused with appendicitis.In this paper, we selected 4 cases of allergic purpura misdiagnosed as appendicitis during 2007~2015, we investigate and analyze the similarities and differences for the diagnosis of abdominal allergic purpura and appendicitis. Infantile appendicitis＇ s pain mostly on the right lower abdomen with fixed tenderness, and the pain of abdominal type allergic purpura is not fixed. It is helpful to reduce the incidence of misdiagnosis and missed diagnosis and improve the clinical diagnosis by identify the similarities and differences for the diagnosis of abdominal allergic purpura and appendicitis.

关 键 词：腹型过敏性紫癜 阑尾炎 鉴别诊断 

分 类 号：R726[医药卫生—儿科]