论文部分内容阅读
目的:探讨过敏性紫癜(HSP)患儿的各种临床特征,以提高对此病的认识。方法:收集我院儿科2010年1月～2012年12月56例HSP患儿的临床资料。对HSP发生的流行病学,临床表现进行回顾性分析。结果:(1)发病年龄在2～12岁多见,最小年龄2岁2例。(2)发病时间,10月～次年3月份为最多见,其他月份也可见。(3)主要诱因为感染,常见上呼吸道感染为50例。(4)56例中都存在皮肤紫癜,以双下肢最常见,易反复出现。伴胃肠道症状者,以脐周腹痛为主,首发此症状易误诊,伴关节症状为30例。伴肾脏损害者,以血尿为主。结论:HSP是以小血管炎为主要病变,血小板不减少性紫癜,常伴腹痛、关节肿痛、血尿等症状的疾病。应早期诊断,尽早合理用药,减少误诊。
Objective: To investigate the clinical features of children with Henoch-Schonlein purpura (HSP) in order to improve their understanding of the disease. Methods: The clinical data of 56 children with HSP from January 2010 to December 2012 in our hospital were collected. The epidemiology and clinical manifestations of HSP were analyzed retrospectively. Results: (1) The age of onset was more common in patients 2 to 12 years old and the youngest was 2 years old in 2 cases. (2) the onset time, from October to March next year is the most common, other months are also visible. (3) The main cause is infection, common upper respiratory tract infection is 50 cases. (4) There are 56 cases of skin purpura, the most common lower limbs, easy to repeated. Those with gastrointestinal symptoms, umbilical abdominal pain, the initial misdiagnosis of this symptom, with joint symptoms in 30 cases. With kidney damage to hematuria-based. CONCLUSIONS: HSP is a disease characterized by small vasculitis as the main lesion and no reduction of purpura on platelets, often with abdominal pain, joint swelling and pain, hematuria and other symptoms. Should be diagnosed early, reasonable medication, reduce misdiagnosis.