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目的:探讨小儿腹型过敏性紫癜的临床特点及误诊原因。以提高早期诊断水平。方法:对15例误诊的儿童腹型过敏性紫癜的临床特点、误诊疾病、误诊原因进行回顾分析。结果:15例患儿均以不同程度的腹痛为首发症状,腹痛部位多变而不固定,就诊时均未见皮疹或无典型皮疹。主要误诊为外科急腹症,其次为消化系统疾病和功能性腹痛。结论:故提高对本病的警惕性,细致观察,详细的病史采集,全面查体和综合分析,是减少误诊率,使患儿得到早期诊治的关键。
Objective: To investigate the clinical features and causes of misdiagnosis of infantile abdominal hypersensitivity purpura. To improve the level of early diagnosis. Methods: The clinical features, misdiagnosis and misdiagnosis of 15 cases of misdiagnosed children with idiopathic purpura were retrospectively analyzed. Results: All the 15 children had different degrees of abdominal pain as the first symptom. The site of abdominal pain varied and not fixed. No rash or typical rash occurred during the treatment. The main misdiagnosis as surgical acute abdomen, followed by digestive diseases and functional abdominal pain. Conclusion: Therefore, raising the vigilance of the disease, careful observation, detailed history collection, comprehensive physical examination and comprehensive analysis is to reduce the misdiagnosis rate, so that children get the diagnosis and treatment of the key.