幽门螺杆菌与儿童过敏性紫癜的关系  

CORRELATION BETWEEN HELICOBACTER PYLORI INFECTION AND HENOCH-SCHOENLEIN PURPURA IN CHILDREN

作　　者：刘秀琴[1] 张素桂[1] 盖志敏[1] 

机构地区：[1]青岛市市立医院儿科,山东青岛266011

出　　处：《齐鲁医学杂志》2004年第6期515-516,共2页Medical Journal of Qilu

摘　　要：①目的　探讨幽门螺杆菌 (Hp)感染与儿童过敏性紫癜 (HSP)发病及复发的关系。②方法　对 2 0例过敏性紫癜并腹痛病儿行胃镜检查 ,并取胃黏膜行病理检查 ,吉姆萨染色法及HpUT试剂盒快速酶试验法检测Hp。③结果　 2 0例HSP病儿均并发不同程度的慢性活动性胃炎、十二指肠球部溃疡 ,其中 6例胃镜下呈麻疹样改变。Hp阳性 11例 ,占 5 5 %。首次发病 13例 ,Hp阳性 5例 ;反复发病 2次以上 6例 ,Hp均阳性 ,根除Hp后未再复发。④结论　过敏性紫癜发病及复发与Hp感染有关。Objective To investigate the relationship between the onset and relapse of Henoch-Schoenlein purpura(HSP) and Helicobacter pylori(Hp) infection. Methods Twenty children with HSP combined with abdominal pain underwent gastroscopy. A biopsy was performed. Hp was examined with Giemsa staining and HpUT packet. Results All the 20 children were complicated with different degree of chronic active gastritis and ulcer in the duodenal bulb. A morbilliform change was observed under a gastroscope in six cases. Hp was positive in 11 (55%). Of the 13 children who were attacked for the first time, five were Hp-positive. Conclusion The onset and recurrence of HSP is related with Hp infection. Removal of Hp can promote the recovery and prevent the relapse of HSP.

关 键 词：紫癜 过敏性 螺杆菌 幽门 儿童 

分 类 号：R725.7[医药卫生—儿科]