小儿过敏性紫癜合并神经系统损害32例的临床分析

THE YOUNG CHILD ALLERGIC PURPURA MERGE NERVOUS SYSTEM HARMS 32 EXAMPLES THE CLINICAL ANALYSES

目的：探讨小儿过敏性紫癜（HSP）合并神经系统损害的临床特点,发生机制和预后。方法：共收集牡丹江医学院附属红旗医院、附属二院自2003-10-2008-10临床诊断明确的住院HSP患儿126例,符合1990年美国风湿协合制造的诊断标准[1],其中男84例,女42例,年龄5-13岁,平均7.8岁,≤10岁88例（占69.8%）,11-13岁38例（占30%）。结果：伴有神经症状者32例。主要为头痛、头晕、视物模糊、惊厥和肢体麻木无力,治疗后32例中20例痊愈,好转4例,复发8例。结论：HSP并CNS损害在临床并不少见,只是以前少有认识,辅助检查异常率最高的为脑电图,且脑电图比脑脊液更明感,同时合并有肾脏损害者预后差。

Objective：Discusses clinical characteristic which the young child llergic purpura （HSP） merge nervous system harms, has the mechanism and the prognosis. Methods：Altogether collected Mudanjiang Medical school Attached Red Flag Hospital, the attached two courtyards from from October, 2003 to October, 2008 the clinical diagnosis explicit in hospital HSP trouble 126 examples, tallied in 1990 American rheumatism consistent manufacture diagnosis standard , The in which male 84 examples, the female 42 examples, the age 5 - 13 year old, the average 7. 8 years old, ≤ 10 the year old 88 examples （ account for 69. 8% ）, 11 - 13 year old of 38 examples （account for 30% ）. Results：Is accompanied by the nerve symptom 32 examples. Mainly for the headache, dizziness, regards the thing fuzzy, the convulsion and the body numb incapable, treats in the latter 32 examples 20 example healings, changes for the better 4 examples, recurs 8 examples. Conclusion： HSP and the CNS harm in clinical is not rare, was only the before unusual understanding, assisted inspects the rate of abnormality high is the electroencephalogram, also the electroencephalogram compared to a cerebrospinal fluid brighter feeling, simultaneously merged has the kidney impairer prognosis bad.