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目的分析成人腹型过敏性紫癜的消化内镜检查结果,为该病的早期诊断提供依据。方法对成人腹型过敏性紫癜的15例胃镜、3例结肠镜及2例胶囊内镜的检查结果进行分析。结果胃镜检查发现15例患者十二指肠黏膜散在大小不一的出血点、出血斑,3例十二指肠球部溃疡并出血,3例结肠镜检查均见黏膜水肿、出血点或出血斑,且以升结肠和回肠末端为著。2例胶囊内镜结果显示小肠黏膜水肿,散在黏膜糜烂和片状出血斑。活检病理检查见黏膜肌组织内大量中性粒细胞及淋巴细胞浸润。结论消化内镜检查对于腹型过敏性紫癜的早期诊断具有较高价值。
Objective To analyze the results of digestive endoscopy in adult abdominal anaphylactoid purpura and provide basis for the early diagnosis of the disease. Methods 15 cases of adult abdominal anaphylactoid purpure gastroscopy, 3 cases of colonoscopy and 2 cases of capsule endoscopy examination results were analyzed. Results Gastroscopy found that 15 cases of duodenal mucosa scattered in various sizes of bleeding, bleeding spots, 3 cases of duodenal ulcer and bleeding, colonoscopy in 3 cases were mucosal edema, bleeding or bleeding spots , And ascending colon and ileum as the end. 2 cases of endoscopic capsule results showed small intestinal mucosal edema, loose mucosal erosion and flaky bleed spots. Biopsy pathology showed a large number of mucosal muscle tissue neutrophils and lymphocyte infiltration. Conclusion Digestive endoscopy is of high value in the early diagnosis of abdominal Henoch-Schonlein purpura.