小儿过敏性紫癜76例临床分析

Analysis of HSP on 76 Clinical Cases

目的:探讨小儿过敏性紫癜(HSP)的临床特点,提高对本病的认识,加强小儿过敏性紫癜的预防与治疗。方法:对我院76例HSP患儿的临床资料进行回顾性分析。结果:发病年龄在3～13岁为76例;男孩占比例较大为61.84%,女孩占38.15%;发病高峰期为9月到次年3月。有呼吸道感染诱因50例(65.78%);均有皮肤症状,消化道症状62例(81.57%),关节症状39例(51.31%),肾脏症状22例(28.94%),急性肾炎型6例,其次臀部紫癜为47例(61.84%)。结论:过敏性紫癜发病以学龄儿童、冬春季发病较多,是以侵犯皮肤、关节、消化道和肾脏为主的血管炎,其病因尚需进一步讨论,及时准确治疗后患儿预后好。

Purpose：To discuss the clinical characteristics of HSP （Henoch-Schonlein purpura）,improve the understanding of this disease,and strengthen the prevention and treatment of HSP.Method：Make a retrospective analysis of the clinical data of 76 HSP children patients of our hospital.Result：76 cases have an outbreak age of 3-13 years,in which boys account for 61.84% and girls 38.15% ;the high period of outbreak is from September to next March.Among 50 cases,this disease is induced by respiratory tract infection （65.78%） ;62 cases have dermal or alimentary tract symptoms （81.57%）, 39 cases articular symptoms（51.31% ）, 22 cases kidney symptoms（28.94%）, and 6 cases acute nephritis, and there are 47 cases of sciatic purpura（61.84% ）.Conclusion：Allergic purpura mostly occurs in winter and spring among school-age children ,followed by vasculitis that encroaches on the skin ,joints,the alimentary tract and the kidneys.The causes have to be further discussed.If this disease is treated timely and accurately,children patients will have better prognoses.