小儿过敏性紫癜误诊原因分析

The Analysis of Misdiagnosis about Henoch-Schonlein Purpura in Child

目的探讨小儿过敏性紫癜误诊情况与原因,为临床工作提供参考依据。方法对北华大学附属医院2008年2月至2010年6月误诊的24例小儿过敏性紫癜进行回顾性分析。结果本组7例误诊为急性胃肠炎;3例误诊为腹型癫痫;5例误诊为急性阑尾炎;4例误诊为急性肾炎;5例误诊为关节炎。误诊时间:5～7d。结论小儿过敏性紫癜极易误诊,提高对本病的警惕性,细致观察,详细的病史采集,全面查体和综合分析,是减少误诊率,使患儿得到早期诊治的关键。

Objective To investigate the misdiagnosis of anaphylactoid purpura in children and causes, provide a reference for clinical work. Methods Hospital from February 2008 to June 2010 24 cases of misdiagnosis anaphylactoid purpura in children were analyzed retrospectively. Results 7 cases misdiagnosed as acute gastroenteritis; 3 cases were misdiagnosed as abdominal epilepsy; 5 cases were misdiagnosed as acute appendicitis; 4 cases were misdiagnosed as acute nephritis; 5 cases were misdiagnosed as arthritis.Misdiagnosis time： 5 ～ 7d. Conclusion Purpura misdiagnosed and improve the vigilance of this disease, careful observation, detailed history taking, comprehensive physical examination and comprehensive analysis, is to reduce the misdiagnosis rate, so that children are the key to early diagnosis and treatment.