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目的探讨儿童过敏性紫癜(HSP)的临床特征及治疗方法。方法回顾性分析2004年6月-2008年4月收治的115例HSP患儿临床资料。结果感染为儿童HSP的主要诱因,115例均有皮肤紫癜,双下肢紫癜发生率100%,有消化道症状69例,关节症状43例,尿检异常37例,以消化道症状首发者极易误诊。结论儿童HSP以学龄期儿童多见,并多系统症状者肾损害发生率较高,临床应提高早期诊断率,减少误诊,降低肾脏损害及复发率。
Objective To investigate the clinical characteristics and treatment of Henoch-Schonlein purpura (HSP) in children. Methods The clinical data of 115 cases of HSP admitted from June 2004 to April 2008 were retrospectively analyzed. Results The main cause of HSP infection in children, 115 cases of skin purpura, purpura both lower extremities the incidence of digestive tract symptoms in 69 cases, 43 cases of joint symptoms, urine abnormalities in 37 cases, the first episode of digestive symptoms easily misdiagnosed . Conclusions Children with HSP are more common in school-age children and have a higher incidence of renal damage in multi-system symptoms. Early clinical diagnosis should be improved to reduce misdiagnosis and reduce renal damage and recurrence rate.