| 摘要: |
| 目的 为腹型过敏性紫癜患儿是否合并消化道出血的风险预测和药物治疗提供参考依据。方法 选取2014年11月至2015年10月住院的100例腹型过敏性紫癜患儿，按有无消化道出血分为两组，对腹型过敏性紫癜合并消化道出血与无出血组患儿的肠道超声进行对比分析。结果 两组患儿中合并消化道出血组患儿更易合并肠道管壁增厚，与无出血组对比差异有统计学意义,而对于是否合并淋巴结肿大及腹腔积液两组比较差异无统计学意义。结论 腹型过敏性紫癜患儿肠管壁增厚可能是消化道出血的一个重要先兆，应早期做肠道超声检查，对于合并肠管壁增厚的患儿应引起临床医生注意，给予更加积极的治疗。 |
| 关键词: 儿童 腹型过敏性紫癜 消化道出血 肠管壁增厚 |
| DOI： |
| 投稿时间：2016-09-14修订日期：2016-12-01 |
| 基金项目: |
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| 100 cases of intestinal ultrasonic analysis of abdominal type allergic purpura in children |
| liufujuan |
| () |
| Abstract: |
| Objective: Use clinical data to predict the risk of the gastrointestinal bleeding for children with abdominal type allergic purpura，and to provide reference for medical treatment. Methods Between November 2014 and October 2015, the ultrasound images of 100 children hospitalized for abdominal purpura were analyzed for intestinal bleeding. The children were divided into two groups for study.children with abdominal allergic purpura displaying symptoms of gastrointestinal bleeding, and a control group of children without gastrointestinal bleeding. Results indicate children with gastrointestinal bleeding are more likely have symptoms of bowel wall thickening, with the variation between the primary group and control group being statistically significant. Lymph node enlargement and abdominal cavity effusion is similar between the two groups and has no statistical significance. Conclusion Children with abdominal allergic purpura exhibiting bowel wall thickening may be an important predictor of gastrointestinal bleeding, and should undergo early intestinal ultrasound examination. When bowel wall thickening is also present alongside allergic purpura, clinicians should consider more aggressive treatment. |
| Key words: Children abdominal allergic purpura gastrointestinal bleeding intestinal wall thickness. |
