儿童过敏性紫癜并发肠套叠诊疗分析

目的：分析过敏性紫癜并发肠套叠的临床特征。方法：搜集2011年9月至2018年4月就诊于我院皮肤科及小儿外科的8例过敏性紫癜并发肠套叠患儿临床资料,包括临床表现、辅助检查、治疗方法及治疗效果。结果：8例患儿经腹部B超或CT确诊。2例在B超监视下水压灌肠复位后肠套叠缓解,3例剖腹探查手法复位后缓解,3例存在肠坏死行肠切除术。结论：过敏性紫癜并发肠套叠以小肠为主,早期诊断困难,对于腹型过敏性紫癜患儿应密切观察腹部症状体征变化。

Analysis of diagnosis and treatment of Henoch-Schonlein purpura with intussusception in children

Objective: To analyze features of Henoch-Schonlein purpura with intussusception in children. Methods: The clinical data of patients including clinical manifestation, auxiliary examination, treatment and therapeutic outcomes were collected from September 2011 to April 2018 in department of dermatology and pediatric surgery. Results: Eight patients were diagnosed by abdominal ultrasound or CT. Two cases relieved after hydrostatic enema under guided ultrasound, three cases relieved after manual reduction in laparotomy and three cases with intestinal necrosis relieved after enterectomy. Conclusion: Most of Henoch-Schonlein purpura with intussusception often occurred in the small intestine and early diagnosis is difficult. Close monitoring of patients with abdominal symptoms in Henoch-Schonlein purpura is needed.