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Allergic Purpura comprehensive treatment of 30 cases
[Keywords:] purpura, comprehensive treatment
Henoch-Schonlein purpura is a small vessel vasculitis as the main pathological changes in systemic vasculitis syndrome. Pathogenesis of all ages can children than adults. Can cause multiple organ damage, common sites of gastrointestinal lesions, joint slip membrane, kidney, central nervous system, cardiovascular. our department in March 2005 ~ October 2008 30 patients were treated, comprehensive treatment, is effective, are as follows.
1 Materials and Methods
1.1 General information on the 30 cases, 20 males and 10 females, treatment before the onset time of 2 to 10 days, aged 3 to 14 years old .30 cases were seen in skin purpura, knee-ankle joint swelling and pain in 16 cases, two calf muscles sore 4 cases, 1 case of sore feet back, Cullen and lower abdominal pain in 16 patients, vomiting and bloody stool naked eye in 10 cases, 3 cases of myocarditis class changes, manifested as chest tightness, fatigue, slow heart rate, testicular swelling in 4 cases, 1 case have a headache. 15 cases of elevated peripheral white blood cells, platelets increased in 12 cases, urine routine examination: 10 cases of increased red blood cells, white blood cells increased in 8 cases, proteinuria positive in 8 patients, 16 patients with positive fecal occult blood.
1.2 Treatment
1.2.1 remove the incentive to avoid eating the food may cause allergies and stop taking the drug may cause allergies, there is active infection control infection.
1.2.2 symptomatic treatment of acute bed rest, eat the rough and chill food given to hemostasis of gastrointestinal bleeding min infusion, 10 mg / (kg · times, at 1 or 2 times, serious oral thrombin, with above 37 ℃ saline solution diluted to 50 ~ 500 u / ml, oral dosage of 200 ~ 2 000 ml, 3 to 4 times per day, while intravenous infusion of cimetidine 20 ~ 40 mg / (kg · d, min 2, vitamin C 2 ~ 5 g / d, 10% ca
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