论文部分内容阅读
目的探讨以血性腹水为主要表现的过敏性紫瘢的临床特征,以进一步提高对该病的认识。方法对我院近年收治的13例以血性腹水、腹痛为主要表现的过敏性紫癜患者的临床资料进行分析,并结合文献进行复习。结果入院时病程2～19d,平均7d,主要表现为腹胀、腹部阵发性剧烈绞痛和腹水。腹水均为血性渗出液,外周血白细胞及中性粒细胞明显增高,92%(12/13)患者的白细胞在15～25×109/L之间。全部患者均为腹型紫瘢合并1至3型其他类型紫瘢。以甲强龙或强的松治疗后均全部治愈,疗程15～35d。结论以血性腹水为主要表现的过敏性紫瘢较为少见,皮肤紫瘢明显延迟出现或不出现者早期诊断有一定困难。治疗主要应用皮质激素,预后良好。
Objective To investigate the clinical features of allergic purpura with bloody ascites as the main manifestation to further improve the understanding of the disease. Methods The clinical data of 13 patients with Henoch-Schonlein purpura who were mainly manifested as bloody ascites and abdominal pain were analyzed in our hospital and combined with the literature review. Results The course of admission 2 ~ 19d, an average of 7d, the main manifestations of abdominal distension, severe paroxysmal abdominal cramps and ascites. Ascites were bloody exudate, peripheral leukocytes and neutrophils were significantly higher, 92% (12/13) of patients with leukocytes in 15 ~ 25 × 109 / L between. All patients were abdominal purple scar combined with type 1 to 3 other types of purple scar. After treatment with methylprednisolone or prednisone were all cured, treatment 15 ~ 35d. Conclusion Asymptomatic purple scar, which is the main manifestation of bloody ascites, is rare, and there is some difficulty in the early diagnosis of delayed appearance or absence of dermal scar. The main treatment of corticosteroids, the prognosis is good.