30 例成人腹型過敏性紫癜臨床與胃腸鏡分析_West China Medical Journal

Authors：

張樹賢 , 任玲 , 徐靜 ,  李祎

連云港市第一人民醫院?徐州醫科大學附屬連云港醫院消化內科（江蘇連云港? 222000）;

Corresponding?author：

李祎, Email: wenzhuabc@sina.com

Keywords：

過敏性紫癜; 成人; 胃鏡; 腸鏡

DOI：

10.7507/1002-0179.201604037

Video：

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目的總結分析成人腹型過敏性紫癜的臨床與胃腸鏡表現，以提高其診斷水平。方法回顧分析 2012 年 7 月—2015 年 5 月收治的 30 例成人腹型過敏性紫癜的臨床特點與胃腸鏡下表現。結果 30 例患者均有不同程度的腹痛，伴惡心、嘔吐 10 例，黑便及暗紅色血便 12 例。所有患者大便隱血均陽性。胃腸鏡下表現為胃腸道黏膜彌漫充血水腫，多發糜爛及淺潰瘍形成，病變以十二指腸病變最為多見且病變重，食管黏膜未見異常。常規抑酸及解痙藥物治療效果差，糖皮質激素應用有效。結論腹型過敏性紫癜患者十二指腸病變最為常見，胃腸鏡檢查對其早期診斷有較高診斷價值。

Citation： 張樹賢, 任玲, 徐靜, 李祎. 30 例成人腹型過敏性紫癜臨床與胃腸鏡分析. West China Medical Journal, 2017, 32(4): 578-580. doi: 10.7507/1002-0179.201604037 Copy

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1. ?Sasulsbury FT. Clinical update: Henoch-Schonlein purpura. Lancet, 2007, 369(9566): 976-978.
2. Roberts PF, Waller TA, Brinker TM, et al. Henoch-Schonlein purpura: a review article. South Med J, 2007, 100(8): 821-824.
3. Pillebout E, Verine J. Henoch-Schonlein purpura in the adult. Rev Med Interne, 2014, 35(6): 372-381.
4. Zhang Y, Huang X. Gastrointestinal involvement in Henoch-Schonlein purpura. Scand J Gastroenterol, 2008, 43(9): 1038-1043.
5. Ebert EC. Gastrointestinal manifestations of Henoch-Schonlein Purpura. Dig Dis Sci, 2008, 53(8): 2011-2019.
6. Menon P, Singh S, Ahuja N, et al. Gastroentestinal manifestations of Henoch-Schoenlein purpura. Dig Dis Sci, 2013, 58(1): 42-45.
7. Tanogul A, Karagoz E. Predictive role of neutrophil to lymphocyte ratio in Henoch-Schoenlein purpura related gastrointestinal bleeding. Rheumatol Int, 2014, 34(9): 1331-1332.
8. Esaki M, Malsumoto T, Nakamura S, et al. GI involvement in Henoch Schonlein purpura. Gastrointest Endosc, 2002, 56(6): 920-923.
9. 張莉, 段麗萍, 呂俞敏, 等. 腹型過敏性紫癜的臨床及內鏡表現. 中華消化雜志, 2005, 22(1): 25-28.
10. Hamzaoui A, Melki W, Harzallah O, et al. Gastrointestinal involvement revealing Henoch Schonlein purpura in adults: report of three cases and review of the literature. Int Arch Med, 2011, 4(1): 31.
11. Nam EJ, Kim GW, Kang JW, et al. Gastrointestinal bledding in adults patients with Henoch Schonlein purpura. Endoscopy, 2014, 46(11): 981-986.

West China Medical Journal

30 例成人腹型過敏性紫癜臨床與胃腸鏡分析

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