儿童过敏性紫癜合并肠套叠临床分析

Clinical ananlysis on Henoch-Schonlein purpura accompanied with intussusception

目的探讨过敏性紫癜合并肠套叠的临床特点及外科治疗方法。方法回顾性分析本院自2006年1月至2013年6月收治的19例过敏性紫癜合并肠套叠患儿的临床资料。结果19例中，空气灌肠复位成功4例，15例行手术治疗，手术整复4例，肠坏死11例，其中行肠吻合7例，肠造瘘4例。结论肠套叠病程在6 h 内者，行空气灌肠治疗是可行、有效的；发病时间在24 h 后者，应及时手术干预。

Objetive To study the clinical features and explore the surgical therapy of Henoch -Schon-lein purpura with acute intussusception in children.Methods A retrospective review was made on the clinical datas of 19 cases of Henoch-Schonlein purpura with acute intussusception in children who had hospitalized in our hospital from Jan.2006 to Jun.2013.Results 4 patients were treated by air reduction successfully,15 were treated by surgical intervention,4 underwent a manual reduction and 11 patients had a bowel resection （among which 7 underwent intestinal anastomosis and 4 intestinal fistula）. Conclusion Air reduction of in-tussusception is feasible and effective within 6 hours after the onset;surgical intervention is required over 24 hours after the onset.