68例儿童过敏性紫癫的临床分析  

Clinical Analysis of 68 Cases of Children with Anaphylactoid Purpura

作　　者：房清丽[1] 郭春红[1] 常青[1] 

机构地区：[1]山西大同大学医学院,山西大同037009

出　　处：《山西大同大学学报（自然科学版）》2013年第2期53-54,57,共3页Journal of Shanxi Datong University(Natural Science Edition)

摘　　要：目的探讨儿童过敏性紫癫的临床特点和治疗效果。方法对68例过敏性紫癫患儿的发病特点、临床表现和治疗进行回顾性分析。结果发病年龄6～14岁小儿49例(占72%),冬春季节发病多见(占69%),有明确诱因患儿50例(占73%),以感染和过敏为主要诱因。所有患儿均先后出现了皮肤损害,皮肤损害为首发症状的为51例(占75%),有关节损害40例(占59%),消化道症状的患儿44例(占65%),单纯腹痛为首发症状2例(占3%),肾脏损害6例(占9%)。结论过敏性紫癫好发于学龄期儿童,以冬春季节多见,感染和过敏为主要诱因,常侵犯皮肤、胃肠、关节、肾脏,治疗以抗感染、抗过敏、激素等综合治疗为主,治疗效果好。Objective To explore the clinical characteristics and treatment effects of children anaphylactoid purpura.Methods The clinical characteristics,clinical manifestations and treatment of 68 cases of children with anaphylactoid purpura were retrospectively analyzed.Results 49 cases were aged from 6 to 14 years old（72%）,children with Anaphylactoid purpura occurred more commonly in the winter and the spring（69%）.50 cases have predisposing factors,the important predisposing factors were infections and allergies.Purpura was present in all cases,purpuric lesions were the most common presenting signs（73%） in 51 cases,joint involvement was observed in 40 cases（59%）,abdominal involvement in 44 cases（65%）,simple abdominal pain as the first sign of 2 cases（3%）,renal involvement in 6 cases（9%）.Conclusions The anaphylactoid purpura occured more in school-age children and occured mostly in the winter and spring,the important predisposing factors were infections and allergies.HSP mainly affect skin,joint,gastro intestinal tract and kidney.Comprehensive therapy for treatment of anti-inflammatory,anti-allergic,hormones,treatment effect is good.

关 键 词：过敏性紫癫 儿童 血管炎 

分 类 号：R725[医药卫生—儿科]