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目的探讨儿童过敏性紫癜的临床特点及治疗。方法回顾性分析2009年12月-2011年12月住院治疗的78例HSP患儿发病情况、临床表现及治疗。结果本病平均发病年龄8.4岁,7-12岁发病者占68%,冬春两季发病率为68%,64.1%找到感染因素。本组患儿78例累及皮肤(100%),主要以下肢皮疹为主,54例累及消化道(69.2%),31例累及关节(39.7%),12例累及肾脏(15.4%)。绝大多数单纯皮肤型、腹型、关节型患儿病情轻,预后好。结论本病多发于学龄儿童,有季节性,主要累及皮肤、胃肠道、骨关节和肾脏,感染为主要诱因,无特效治疗,以对症为主,预后较好,但需做好宣教,长期随访。
Objective To investigate the clinical features and treatment of Henoch-Schonlein purpura in children. Methods A retrospective analysis was made on the incidence, clinical presentation and treatment of 78 HSP children hospitalized from December 2009 to December 2011. Results The average age of onset of this disease was 8.4 years old, 68% of those aged 7-12 years old, 68% of them in winter and spring, and 64.1% of them found the infection. 78 cases involving the skin in this group (100%), mainly in the lower extremity rash, 54 cases involving the digestive tract (69.2%), 31 cases involving the joints (39.7%), 12 cases involving the kidneys (15.4%). The vast majority of simple skin type, abdominal, joint children with mild disease, the prognosis is good. Conclusion The disease is more common in school-age children, seasonal, mainly involving the skin, gastrointestinal tract, joints and kidneys, infection as the main incentive, no special treatment, mainly symptomatic, the prognosis is good, but the need for good education, long-term Follow-up.