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合并心脏损害的儿童过敏性紫癜临床分析
引用本文:何英,芦爱萍,高韦娟,罗文燕,刘冬华,孙琴,林岳华,崔建军.合并心脏损害的儿童过敏性紫癜临床分析[J].河北医学,2009,15(9):1043-1045.
作者姓名:何英  芦爱萍  高韦娟  罗文燕  刘冬华  孙琴  林岳华  崔建军
作者单位:1. 广东省深圳市第五人民医院儿科,广东,深圳,518001
2. 山西省儿童医院肾内科,山西,太原030013
摘    要:目的:探讨儿童过敏性紫癜(HSP)合并心血管损害的临床特点、发生机制和预后。方法:对临床明确诊断的280例儿童HSP患儿进行回顾性分析。结果:280例儿童过敏性紫癜患儿中有87例并发心脏损害,占31.1%,其中表现为心电图异常51例,占18.2%,和(或)有心肌酶谱改变69例,占24.6%,混合性紫癜患儿心电图、心肌酶谱异常率高,异常程度也较重,心损脏损害组与无心脏损害组相比,多脏器损害比例明显增高,治疗后心电图、心肌酶谱有不同程度的恢复。结论:临床上应将心肌酶谱、心电图检测作为HSP的常规检查,有异常者及早进行干预,使可逆性的心肌损害得到恢复,对患儿预后具有重要临床意义。

关 键 词:过敏性紫癜  心脏损害  心电图  心肌酶谱

Clinical Analysis on the Children with Recurrent Henoch-Schonlein Purpura Combined with Cardiac Damage
HE Ying,LU Ai-ping,GAO Wei-juan,et al.Clinical Analysis on the Children with Recurrent Henoch-Schonlein Purpura Combined with Cardiac Damage[J].Hebei Medicine,2009,15(9):1043-1045.
Authors:HE Ying  LU Ai-ping  GAO Wei-juan  
Institution:The Fifth People's Hospital of Shenzhen;Guangdong Shenzhen 518001;China
Abstract:Objective:To study the clinical characteristics,pathogenesis and prognosis of children with henoch-schonlein purpura(HSP).Method:The data of 280 children diagnosed with HSP were reviewed retrospectively.Result:Among the 280 cases,87(31.1%)were combined with cardiac damage.51(18.2%) were combined with ECG abnormalities.69(24.6%) were combined with the changing of myocardial enzymes.The abnormal rate of children with mixed purpura is high and the abnormal level is also high.Compare with the team without cardi...
Keywords:Henoch-schonlein purpura  Cardiac damage  ECG  Myocardial enzymes
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