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本文报告了64例过敏性紫癜的临床资料,对病因、病机、中枢神经系统症状和治疗结合文献进行了探讨。认为本病是机体对某些过敏原的全身性变态反应。脑症状罕见,本文的1例可能系脑血管痉挛所致。激素对脑症状似有较好的疗效,也是目前治疗本病尤其是重症紫癜的主要手段。本组病例血小板减少的发生率远较一般文献为高。本组有1例因合并急性播散性血管内凝血而致死。
This article reports the clinical data of 64 cases of Henoch-Schonlein purpura and discusses the etiology, pathogenesis, central nervous system symptoms and treatment of the combination of literature. The disease is considered to be the body’s systemic allergic reaction to some allergens. Brain symptoms are rare, one case of this article may be due to cerebral vasospasm. Hormone on the brain symptoms seem to have a good effect, but also the current treatment of this disease, especially the main means of severe purpura. The incidence of thrombocytopenia in this group of patients is far higher than the average literature. One patient in this group died of acute disseminated intravascular coagulation.