ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (4): 426-428.doi: 10.3969/j.issn.1674-3865.2016.04.018

• 临床研究 • 上一篇    下一篇

以胃肠不适为首发症状的儿童荨麻疹56例临床分析

王建辉，贝为武，何洛芸，马瑗，韦燕兵，韦妮波   

  1. 530003 广西 南宁，广西壮族自治区妇幼保健院皮肤科(王建辉，何洛芸，马瑗，韦燕兵，韦妮波)，医务科(贝为武)
  • 出版日期:2016-08-25 发布日期:2018-11-19
  • 通讯作者: 贝为武，E-mail:beiweiwu@sina.com
  • 作者简介:王建辉(1981-)，男，医学硕士，主治医师。研究方向：儿童皮肤病的诊疗

Clinical analysis of 56 cases of pediatric urticaria who started with gastrointestinal discomfort

WANG Jianhui，BEI Weiwu，HE Luoyun，MA Yuan，WEI Yanbing，WEI Nibo   

  1. Department of Dermatology，the Maternal Child Health Hospital of Guangxi Zhuang Autonomous Region，Nanning 530003，China.
  • Online:2016-08-25 Published:2018-11-19

PDF (PC)

94

摘要：
目的：总结以胃肠不适为首发症状的儿童荨麻疹的临床特征，提高诊疗水平。
方法：分析并总结56例以胃肠不适为首发症状的儿童荨麻疹，详细记录其一般资料、临床表现、辅助检查等。
结果：56例患者中男31例，女25例，胃肠不适中仅有腹痛者27例，仅有腹泻者12例，仅有呕吐者7例，腹痛伴呕吐4例，腹痛伴发热6例。血常规白细胞、中性粒细胞、C反应蛋白均升高33例，仅有C反应蛋白升高18例，嗜酸粒细胞升高42例，腹部B超肝胆胰脾阑尾未见明显异常，腹部X线片未见异常，大便常规未见虫卵，肺炎支原体阳性1例。
结论：临床上以胃肠不适为首发症状的儿童荨麻疹并不少见，应仔细询问病史及进行详细的体格检查，了解患儿是否为过敏体质，有无荨麻疹病史，是否有过敏原接触史，全身有无风团样皮疹，皮肤划痕征是否阳性，在排除外科急腹症情况下积极给予抗过敏、抗感染、解痉及其他对症处理。

关键词: 胃肠不适, 荨麻疹, 首发症状, 儿童

Abstract:


Objective：To summarize the clinical feature of pediatric urticaria who started with gastrointestinal discomfort, and improve diagnosis and treatment level.
Methods：Totally 56 cases child urticaria who started with gastrointestinal discomfort were analyzed, and the general information, clinical manifestation, auxiliary examination were carefully recorded.
Results：There were 31 male patients and 25 female; the gastrointestinal discomfort included abdominal pain, diarrhea, vomiting, abdominal pain with vomiting and abdominal pain with fever, and the case number was 27,12,7,4 and 6, respectively. There were 33 cases of increase showed rising too in WBC, neutrophils and CRP,18 cases of increase in CRP, and 42 cases in eosinophilic granulocyte. There was nothing abnormal shown in abdominal ultrasonography and X-ray. Parasite eggs were not found in stool, but the Mp was positive in one case.
Conclusion：The pediatric urticaria that shows up as gastrointestinal discomfort firstly is not uncommon. Patients should be asked the medical history carefully and receive a detailed physical examination. In the case of exclusion of surgical acute abdomen, antiallergic, anti-infection, spasmolysis and other symptomatic treatment should be performed.

Key words: Gastrointestinal discomfort, Urticaria, Initial symptom, Children