小儿过敏性紫癜99例临床分析

目的：探讨小儿过敏性紫癜的临床特征。方法：对2006年1月-2009年6月,在本院住院的99例过敏性紫癜患儿的发病特点、临床表现、肾损害相关因素及预后等方面进行回顾性分析。结果：①学龄儿童80例（80.8%）,有诱因者49例（49.5%）,感染42例。②可累及多种组织器官,除皮损外,伴消化道症状31例（占31.3%）,伴关节症状41例（占41.4%）,伴肾脏损害13例（占13.1%）。③预后：治愈92例（92.9%）,好转5例（5%）。结论：过敏性紫癜好发于冬春季节,多见于学龄期儿童,诱因以感染多见,肾脏损害的严重程度决定该病预后。

Clinical analysis of 99 children with Henoch-schonlein purpura

Objective To study the clinical characteristics of Henoch-schonlein purpura(HSP) in children.Method Total 99 children with HSP treated from January 2006 to June 2009 were retrospectively studied and patterns of onset,clinical manifestations,relative factors of renal damage and outcomes were analysed.Results ①80 cases(80.8%) were school-age children,49 cases(49.5%) had the disease inducement,infection was found in 42 cases.②HSP resulted in multi-organic impairment,besides skin lesion,31cases(31.3%) with digestive disease,41 cases(41.4%) combined with joint damage,13 cases(13.1%) with renal damage.③Prognosis:92 cases(92.9%) were cured,5 cases(5.2%) were greatly improved.Conclusion HSP attacks mainly in winter and spring,and the morbidity of HSP is high in the school-age children.The most important inducing factor is infection.The severe degree of renal damage decides the prognosis of HSP.