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本文报告１３４例青少年Ｈｅｎｏｃｈ—Ｓｃｈｏｎｌｅｉｎ综合症，好发于儿童，青年与成年人少见，同时期该症住院儿童４２３例。二者之比约１：３。临床主要症状：１．皮肤紫癜，２．腹部疼痛，３．四肢关节肿痛，４．肾脏病变。在不同病例上述症状可先后，全或部分出现。紫癜出现率最高９７％，腹痛６８％，关节肿痛５７％，肾脏病变４６％。１３４例平均住院日数为２２．２ｄ，其中４１ｄ以上者３３例，多为病情严重或有并发症。临床上有时误诊为急腹症或肠炎。Ｘ线检查包括腹部平片２３例，胃肠钡剂造影１９例，腹部平片无特殊，为一般肠梗阻或穿孔征像。胃肠钡剂造影，小肠改变最为常见而明显，主要表现为肠粘膜皱襞粗大，边缘呈不规则踞齿状，肠腔狭窄，病变广泛而变化快。一般３周左右即可恢复正常。Ｘ线常可确诊。
This article reports 134 cases of Henoch-Schonlein syndrome in adolescents, occurs in children, young and adults rare, while 423 cases of hospitalized children with this disease. The ratio between the two is about 1: 3. Clinical main symptoms: 1. Purpura skin, 2. Abdominal pain, 3. Joint swelling and pain in the limbs, 4. Kidney disease. In different cases, the above symptoms may occur, in whole or in part. The highest incidence of purpura 97%, abdominal pain 68%, 57% of joint swelling and pain, kidney disease 46%. 134 cases of the average length of stay was 22.2d, of which more than 41d 33 cases, mostly in serious condition or complications. Clinically misdiagnosed as acute abdomen or enteritis. X-ray examination, including abdominal plain film in 23 cases, 19 cases of gastrointestinal barium contrast, abdominal plain film for the general ileus or perforation signs. Gastrointestinal barium imaging, the most common and obvious changes in the small intestine, the main manifestations of intestinal mucosal folds thick irregular edge of the entomology, intestinal stenosis, extensive and rapidly changing lesions. Generally about 3 weeks to return to normal. X-ray can be diagnosed.