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临床分析蒙、西医治疗120例儿童过敏性紫癜

Clinical Analysis of 120 Cases of Allergic Purpura in Children
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摘要 目的针对120例我科收治的过敏性紫癜患儿的诊治过程进行回顾分析。方法收集120例过敏性紫癜患儿临床资料,对其疾病特征、诊断方式与治疗效果作出分析,以期指导临床诊断与治疗。结果患儿均有皮肤紫癜,21.67%(26/120)伴消化道症状,28.33%(34/120)伴关节肿痛,同时1例首发腹痛症状的患儿误诊是急腹症。本组患儿肾脏受损达39.17%(47/120),存在不同程度肾损害,病程迁延,1例患儿肾脏损害达2年,且红细胞>5/HP。结论在皮肤紫癜出现前发生腹痛容易造成误诊,肾脏损害对过敏性紫癜患儿的预后存在极为明显的影响,临床务须针对这2个方面采取有效措施。 Objective 120 cases of allergic purpura admitted in our department were retrospective analysis for the process of diagnosis and treatment. Methods The clinical data of 120 children with henoch schonlein purpura were collected, and the disease characteristics, diagnosis methods and treatment effects were analyzed, in order to guide clinical diagnosis and treatment. Results The children were all in the skin purpura, 21.67% (26/120) with gastrointestinal symptoms, 28.33% (34/120) with joint swelling pain, and 1 case of starting children misdiagnosis is an acute abdominal pain symptoms. This group of children with kidney damage was 39.17% (47/120), there are different degree of kidney damage, course deferment, 1 case of children with kidney damage up to 2 years, and red blood cell 〉 5/HP. Conclusion Before the skin purpura appear abdominal pain easy to misdiagnosis, the prognosis of kidney damage in children with allergic purpura is extremely obvious, the influence of clinical must according to the two aspects to take effective measures.
出处 《中国继续医学教育》 2017年第11期143-144,共2页 China Continuing Medical Education
关键词 小儿 过敏性紫癜 诊治分析 children allergic purpura analysis of diagnosis and treatment
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