摘要
目的探讨儿童过敏性紫癜合并肾损害的发病相关因素。方法将102例过敏性紫癜患儿按照是否有肾损害分为紫癜组(n=62)和肾损害组(n=40)2组,对2组临床资料进行回顾性分析。结果肾损害组年龄7岁以上占85.0%(34/40),有明确诱因者77.5%(31/40),皮疹反复发作次数超过3次者72.5%(29/40),和紫癜组比较差异均有统计学意义(P<0.05)。在首发症状方面,肾损害组患儿表现为单一紫癜者比例较低(5.0%,2/40),伴腹痛或多系统病变者比例高,和紫癜组比较差异均有统计学意义(P<0.05)。结论对于年龄大于7岁,皮疹反复发作,首发症状合并腹痛或多系统病变的过敏性紫癜患儿要及时行肾功能检查,防止肾损害被误诊或漏诊。
Objective To explore the related factors of children Henoch Schonlein purpura with injury incidence. Methods 102 cases of children Henoch Schonlein purpura were divided into purpura group （n=62）and renal damage group （n=40）aecording to whether combined with renal injury, the clinical data of two groups were analyzed retrospectively. Results In renal damage group,children over 7 years old accounted for 85%（34/40）,77.5%（31/40） children had a clear incentive, and rash recurrent more than 3 times was in72.5% （29/40）,compared with purpura group,the differences were statistically significant （P〈0.05）.In the first symptom,the proportion （5% ,2/40）of renal damage children appeared as single purpura group was low, appeared as abdominal pain or multi system disease was high,the differences were statistically significant （P〈0.05）.Conclusion For children Henoch Schonlein purpura with less than 7 years old,rash recurrent,and the first symptoms associated with acute skin rash or multi system lesions,it should promptly examine renal function to prevent misdiagnosed or missed diagnosis of kidney damage.
出处
《基层医学论坛》
2015年第10期1314-1315,共2页
The Medical Forum
关键词
过敏性紫癜
儿童
肾损害
临床分析
Allergic purpura
Children
Renal injury
Clinical analysis
作者简介
王利君，女，中专，主治医师。
