中国实用儿科杂志2012，Vol.27Issue(1)：49-52,4.
胃镜检查对儿童过敏性紫癜的早期诊断价值研究
Application of gastroscopy to early diagnosis of Henoch-Schonlein purpura (HSP) in children.
张艳辉 1朱朝敏 1胡华建1
作者信息
- 1. 重庆医科大学附属儿童医院感染消化科,儿童发育疾病研究省部共建教育部重点实验室,儿科学重庆市重点实验室,重庆市(儿童发育重大疾病诊治与预防)国际科技合作基地,重庆400014
- 折叠
摘要
Abstract
Objective To study the gastroscopical features and to evaluate the application value of gastroscopy to early diagnosis of Henoch-Schonlein purpura( HSP) in children. Methods There were 79 children involved in a retrospective analysis, who underwent gastroscopy and had HSP as final diagnosis between January 2009 and May 2010 in Children's Hospital of Chongqing Medicpl University. Results Gastroscopie findings included diffused congestive edema, widespread erosions and ulcerations in gastroduodenal mucosa while the mucosal ecchymosis highlighted the pathological changes, which were similar to the purpura in skin. More distal the gastroscopy reached along upper gastrointestinal track, more severe the mucosal lesions manifested, as was especially significant in descending duodenum. To respond to clinical requirements, we pushed the gastroscope-tip to jejunum-input in one of all 79 cases. Conclusion Typical endoscopic findings in gastroduodenal mucosa helps to make early diagnosis of HSP, especially HSP without purpura; gastroscopy can show the severity of gastrointestinal mucosal damages and be a guidance to clinical therapy. Finally, what we have to highlight is that it' s necessary to make the gastroscope-tip reach jejunum-input for higher detection rate during the gastroscopic operation in early diagnosis of HSP in children.关键词
过敏性紫癜/胃镜检查(术)/儿童Key words
Henoch-Schonlein purpura (HSP)/ gastroscopy/ children分类
医药卫生引用本文复制引用
张艳辉,朱朝敏,胡华建..胃镜检查对儿童过敏性紫癜的早期诊断价值研究[J].中国实用儿科杂志,2012,27(1):49-52,4.
