小儿过敏性紫癜临床特点113例分析

Analysis of 113 cases with henoch - schonlein purpura

目的探讨儿童过敏性紫癜(HSP)的临床特点。方法对1995年3月至2004年11月在我科住院的113例HSP患儿的发病特点、临床表现、肾损害相关因素等进行回顾性分析。结果(1)学龄患儿92例,春、夏、秋、冬的患者数分别为29例、4例、44例、36例。(2)感染58例,进食特殊食物15例。(3)肾脏损害42例,其中学龄患者40例, 混合型患者36例。(4)112例治愈或好转出院,复发11例。结论HSP好发于学龄儿童,发病季节主要为冬春秋季,发病诱因以感染占首位,学龄患者及混合型易发生肾脏损害,少数患者有复发倾向。

Objective To explore the clinical features of henoch - schonlein purpura （HSP） in children. Methods The 113 cases with HSP treated from March 1,1995 to November 30,2004 were retrospectively studied,patterns of onset,clinical manifestations, relative factors of renal damage were analysed. Results （ 1 ） Of the 113 cases,92 were school - age children. （ 2 ） The inducing factors were infections （58 cases）, special food （ 15 cases）. （3） Of the 113 cases ,42 cases presented symptoms of renal damage, and 40 cases of them were school - age children. （4） 112 cases were cured or greatly improved;11 cases had a relapse. Conclusion The morbidity of HSP is high in the school - age children;HSP attacks mainly in winter,spring and autumn. The most important inducing factor was infection ; The school - age children and children presenting many extrarenal symptoms in the HSP patients tend to have renal damage. The majority of patients have favourable prognosis and the minority tend to have a relapse.