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題 名 | Gastrointestinal Involvement as the Initial manifestation in Children with Henoch-Schonlein Purpura--Clinical Analysis of 27 Cases=以腹痛為最初唯一臨床症狀之Henoch-Schonlein氏紫斑症病童--27例臨床分析 |
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作 者 | 林思偕; 趙舜卿; 黃璟隆; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 39:3 民87.05-06 |
頁 次 | 頁186-190+212 |
分類號 | 417.5637 |
關鍵詞 | Henoch-schonlein氏紫斑症; 腹痛; 兒童; Henoch-schonlein purpura; Abdominal pain; Children; |
語 文 | 英文(English) |
中文摘要 | 我們回顧分析六年間 27 位以腹痛為最初唯一臨床表現而出院診斷為 Henoch- Schonlein 氏紫斑症病童。 其中有 17 位男孩,10 位女孩,平均年齡為 6.7 ± 0.5 歲。 其腹痛症狀平均比皮疹早 10.2 ± 1.9 天( 3-48 天); 臨床症狀包括臍周圍疼痛( 77.8% ),嘔吐( 51.9 % ),腹瀉( 29.6% )及血便( 14.8% ),其中有六例其腹痛症 狀類似盲腸炎( 22.2% )。實驗室方面,多數病童有白血球增多( 88.9% ),血小板增加 ( 77.8% ),血清 C 反應球蛋白上升( 71.4% )及糞便陽性潛血反應( 77.8% ),腹部 超音波有助於排除盲腸炎之可能性,上消化道內視鏡亦可提供診斷線索。三例接受不必要之 剖腹手術,術後腹痛症狀依舊持續。85.2% 之病人於皮疹出現時仍持續腹痛而接受類固醇治 療,症狀均得以有效減輕。半年後追蹤除三例有輕微血尿外,餘全部痊癒。醫師於診治原因 不明之急性腹痛病童應將此症列入考慮。早期使用類固醇或可減少病人之痛苦。 |
英文摘要 | A retrospective study was conducted to analyze the clinical and laboratory features, results of imaging studies, and course and treatment in 27 children with Henoch-Schonlein purpura (HSP) who initially presented with only abdominal symptoms. There were 17 boys and 10 girls, aged 6.7 ± 0.5 years. The abdominal symptoms preceded the purpura for 10.2 ± 1.9 days, ranging from 3 to 48 days. The main abdominal symptoms were periumbilical pain (77.8%); vomiting (51.9%); diarrhea(29.6%); pain mimicking appendicitis (22.2%) and bloody stool (14.8%). Laboratory findings revealed leukocytosis (88.9%), thrombocytosis (77.8%), positive stool guaiac tests (77.8%), and elevation of serum C-reactive protein (71.4%). Plain film is of limited use, but emergent abdominal sonography can be helpful in patients suspected of appendicitis. Unnecessary laparotomy was performed in three patients, whose pain persisted after the operation. Corticosteroid, given upon the appearanceof rash, alleviated the abdominal pain in 2.4 ± 0.2 days. All patients had recovered completely at sixmonth follow-up, except that three had persistent microscopic hematuria. A high index of suspicion and early diagnosis of HSP based on clinical features, laboratory data and the findings from diagnostic imaging may avoid unnecessary surgery. Early use of corticosteroid may reduce the suffering in these children. |
本系統中英文摘要資訊取自各篇刊載內容。