儿童过敏性紫癜78例临床分析

目的探讨儿童过敏性紫癜的临床特点及治疗。方法回顾性分析2009年12月-2011年12月住院治疗的78例HSP患儿发病情况、临床表现及治疗。结果本病平均发病年龄8.4岁,7-12岁发病者占68%,冬春两季发病率为68%,64.1%找到感染因素。本组患儿78例累及皮肤（100%）,主要以下肢皮疹为主,54例累及消化道（69.2%）,31例累及关节（39.7%）,12例累及肾脏（15.4%）。绝大多数单纯皮肤型、腹型、关节型患儿病情轻,预后好。结论本病多发于学龄儿童,有季节性,主要累及皮肤、胃肠道、骨关节和肾脏,感染为主要诱因,无特效治疗,以对症为主,预后较好,但需做好宣教,长期随访。

Clinical analysis of 78 children with Henoch-SchiJnlein purpura

Objective To explore the clinical characteristics and treatment of Henoch-Schonlein purpura(HSP) in children.Methods From December 2008 to December 2010,78 children with HSP in our hospital were retrospectively analyzed on the incidence,elinical manifestations and treatment.Results The mean age of onset the disease 8.4 yeas,7-12 years of age accounted for 68% of the incidence,morbidity rate of 68% in winter and spring,64.1% find the ifections.Purpura occurred in the skin,more often in the bilaterallower extremities,digestive tract involvement was in 54(69.2%),joint involvement was in 31(39.7%),and renal involvement was in 12(15.4%).Most of HSP with the simple,abdominal,joint types is not severe with good prognosis.Conclusion HSP often occurs in school-age children with seasonality,ocasionally involves in skin,digestive,joints and renal,with the infection as the main incentive,no specific tieatment,mainly to symptomatic,the prognosis is good,but need to do mission,and Long-term follow-up.