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目的探讨腹型过敏性紫癜胃肠表现及其在胃镜下改变,以探讨胃镜检查在诊断过敏性紫癜中的意义。方法20例过敏性紫癜腹型患儿均行胃镜检查,分析胃肠表现及胃镜资料。结果胃肠道症状主要表现为腹痛20例,消化道出血3例,呕吐14例,腹泻3例。患儿胃镜下黏膜病变表现为充血、水肿、糜烂、出血,特异性改变为散在的出血斑点,部分融合成片,十二指肠球部和降部改变为著。食管黏膜均无异常发现。结论小儿过敏性紫癜以胃肠道症状首发者,早期行胃镜检查,根据其典型胃镜下改变,可以帮助我们早期明确诊断。
Objective To investigate the gastrointestinal manifestations of abdominal anaphylactoid purpura and its changes in gastroscopy to explore the significance of gastroscopy in the diagnosis of Henoch-Schonlein purpura. Methods 20 cases of children with allergic purpura abdominal gastroscopy were performed, gastrointestinal manifestations and gastroscopy data. Results Gastrointestinal symptoms mainly manifested as abdominal pain in 20 cases, gastrointestinal bleeding in 3 cases, vomiting in 14 cases and diarrhea in 3 cases. Gastroscopy in children with mucosal lesions manifested as congestion, edema, erosion, bleeding, the specific changes to scattered bleeding spots, part of the fusion into pieces, duodenal bulb and the Ministry of the Ministry to change. Esophageal mucosa were no abnormal findings. Conclusions Children with Henoch-Schonlein purpura are the first to have gastrointestinal symptoms. Early gastroscopy, according to their typical endoscopic changes, can help us to confirm the diagnosis early.