儿童过敏性紫癜110例临床剖析.docVIP

儿童过敏性紫癜110例临床剖析 　　[摘要] 目的 分析过敏性紫癜的流行病学资料、临床特征及易感因素，为疾病的临床诊治提供参考。 方法 回顾性分析2011年1月～2014年12月江苏大学附属医院儿科明确诊断的110例过敏性紫癜住院病例的临床资料。 结果 流行病学资料分析显示本病冬春季节多发，好发于男性，发病率约为女性的1.62倍，3～9岁儿童为发病高峰期，前驱感染尤其是呼吸道感染为本病最常见发病诱因，首发症状以皮肤紫癜多见，以胃肠道症状首发误诊率较高；性别（r 0，P 0，P 0，P 0，P 0，P 0，P 0.05）等常见发病诱因与主要临床症状的出现存在一定关联。结论 儿童过敏性紫癜3-9岁为发病高峰，以胃肠道症状首发病例容易误诊，需要引起注意。常规实验室检查结果的多指标综合考量有助于评估主要临床症状发生的相关性，减少损伤性检查，有助于疾病的早期诊治和预防性治疗。 　　[关键词] 过敏性紫癜；流行病学资料；易感因素；临床分析 　　[中图分类号] R725.546 [文献标识码] A [文章编号] 1673-7210（2018）04（c）-0102-05 　　Clinical analysis of 110 patients with henoch-schonlein purpura 　　ZHANG Xiaoming ZHU Haitao LV Jinchuan 　　Department of Pediatrics， Affiliated Hospital of Jiangsu University， Jiangsu Province， Zhenjiang 212000， China 　　[Abstract] Objective To analyze the epidemiological data， clinical features and susceptibility factors of Henoch-Schonlein purpura and provide references for the clinical diagnosis and treatment of this disease. Methods Clinical data of 110 inpatients with henoch-schonlein purpura diagnosed in pediatrics of Affiliated Hospital of Jiangsu University from January 2011 to December 2014 was retrospectively analyzed， the clinical data were summarized. Results Epidemiological analysis showed that the disease was more frequent in winter and spring， the males incidence was about 1.62 times higher than that in females. The children aged 3-9 were at peak incidence. The predominant infection was predominant infection， especially respiratory tract infection Induced， the first symptom of skin purpura was more common， the first diagnosis of gastrointestinal symptoms with higher misdiagnosis rate， gender （r 0， P 0， P 0， P 0， P 0.05）. Conclusion Children with henoch-schonlein purpura （3-9 years old） have the highest incidence and may be misdiagnosed as the first cases of gastrointestinal symptoms. The multi-index comprehensive consideration of the results of routine laboratory tests can help assess the correlation of the main clinical symptoms， reduce the damage examina