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儿童过敏性紫癜68例临床分析

Clinical analysis of 68 Pediatric Henoch-Schonlein purpura

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【作者】 操晓莉储茂广方世久

【Author】 CAO Xiao-li,CHU Mao-guang,FANG Shi-jiu Anqing No.1 People’s Hospital,Anqing 246003,Anhui

【机构】 安庆市第一人民医院儿科

【摘要】 目的:分析过敏性紫癜(HSP)患儿的临床资料,总结该病的临床表现,指导临床诊疗。方法:对68例HSP患儿的临床资料,包括临床表现、实验室检查结果、治疗及预后情况进行总结分析。结果:HSP的好发年龄为5~11岁,好发季节多为冬春季节,主要诱因为感染,68例中以皮肤紫癜为首发症状56例(占82.35%),少数以胃肠道、关节症状及血管神经性水肿为首发症状。45例出现消化道症状,28例出现关节症状,10例出现肾脏损害。结论:儿童HSP的诊断主要依靠临床症状,肾脏受损的程度是决定预后的关键,门诊定期复查尿常规。

【Abstract】 Objective: to analyze the clinical data of 68 cases of Henoch-Schonlein purpura(HSP),summarize clinical symptoms for the reference of clinical diagnosis and treatment.Method: clinical data of 68 cases of HSP,including clinical symptoms,laboratory check results,treatment and prognosis.Result:HSP mostly occurrs among age groups from 5 to 11 in spring and winter.The main cause is infection.56 cases showed cutaneous purpura(82.35%),a small number of children showed symptoms in gastrointestinal tract,joints and acute circumscribed edema.45 cases showed symptoms in gastronintestinal tract,28 cases with joints symptoms,10 cases with kidney injury.Conclusion: The diagnosis of pediatric HSP relys on clinical symptoms.Kidney injury degree is the key to prognosis.Regular check-up of routine urine test in clinic is important.

【关键词】 过敏性紫癜儿童
【Key words】 HSPchildren
  • 【文献出处】 安徽卫生职业技术学院学报 ,Journal of Anhui Health Vocational & Technical College , 编辑部邮箱 ,2012年06期
  • 【分类号】R725.5
  • 【下载频次】36
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