过敏性紫癜ppt参考课件.ppt

临床特征 HSP合并胃肠道受累时，腹部X线可表现为黏膜折叠增厚、指纹征、肠袢间增宽，小肠胀气伴有多数液气平面 CT示受累肠壁水肿增厚，多节段的跳跃性肠壁增厚，肠管狭窄，受累肠管周围常可见少量腹腔积液，肠系膜水肿、血管充血及非特异性淋巴结大 [Image information in product] - Title Image – www.ilikeclick.co.kr - CD: medical perspectives (Eyewire) - Note to customers: This image has been licensed to be used within this PowerPoint template only. You may not extract the image for any other use. * Company Logo 临床特征 肠系膜血管炎CT可表现为肠壁、血管壁水肿、增厚圈 对怀疑有肠套叠的HSP患者中，行钡剂或空气灌肠对诊断和治疗意义不大,而且有可能会加重炎症，导致肠穿孔 CT检查多在X线照片及B超检查有疑问时适用 [Image information in product] - Title Image – www.ilikeclick.co.kr - CD: medical perspectives (Eyewire) - Note to customers: This image has been licensed to be used within this PowerPoint template only. You may not extract the image for any other use. * Company Logo 临床特征 内镜下胃肠黏膜呈紫癜样改变、糜烂和溃疡。紫癜样斑点为孤立性出血性红斑，微隆起, 病灶间可见相对正常黏膜 病变多呈节段性改变，主要累及胃、十二指肠、小肠和结肠，但往往以小肠为重，很少累及食管。侵犯部位以十二指肠黏膜改变最为突出，十二指肠降段不规则溃疡可能是HSP在胃肠道的典型表现 [Image information in product] - Title Image – www.ilikeclick.co.kr - CD: medical perspectives (Eyewire) - Note to customers: This image has been licensed to be used within this PowerPoint template only. You may not extract the image for any other use. * Company Logo 治疗 过敏性紫癜具有自限性（有报道94%自愈），通常不需要治疗干预 是否需要住院治疗大部分取决于患儿在院外是否能得到很好的照顾 控制患儿急性症状如关节痛、腹痛和影响预后的因素如肾损害 [Image information in product] - Title Image – www.ilikeclick.co.kr - CD: medical perspectives (Eyewire) - Note to customers: This image has been licensed to be used within this PowerPoint template only. You may not extract the image for any other use. * Company Logo 治疗 1：一般治疗 无特效疗法。急性期卧床休息，避免过敏原，积极治疗感染。 [Image information in product] - Title Image – www.ilikeclick.co.kr - CD: medical perspectives (Eyewire) - Note to customers: This image has been licensed to be used within this PowerPoint template only. You may not extract the ima