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亨诺-许兰氏紫瘢(HSP)是一种病因不明的弥漫性血管炎引起多器官受累的临床综合征。迄今,大多数报告都集中于HSP的临床表现,而有关实验室资料相对较少。本文旨在调查HSP的临床表现和实验室发现,以确定二者的相关性。临床诊断为急性HSP的患儿18例,男11例,女7例。平均年龄4.5岁,范围界于10个月至11岁。全部患儿均有紫癜,78%有关节炎,67%有腹痛,50%有肾炎,44%有消化道出血。血小板增多者占67%(12例),多为轻度增高,范围40.4-69.5万。血沉增快者占71%(10例),1gA增高者占53%(15例)。3例IgG明显降低,IgG均在正常范围。作者发现血小板增多与腹痛明显相关(P=0.004),与胃肠道出血也
Heinuo - Xu Lan Lan purple scar (HSP) is a clinical etiology of diffuse vasculitis caused by multiple organ involvement clinical syndrome. To date, most reports focus on the clinical manifestations of HSP, with relatively little laboratory data available. This article aims to investigate the clinical manifestations of HSP and laboratory findings to determine the relevance of the two. Clinical diagnosis of acute HSP in 18 cases of children, 11 males and 7 females. The average age is 4.5 years, ranging from 10 months to 11 years. All children have purpura, 78% have arthritis, 67% have abdominal pain, 50% have nephritis, 44% have gastrointestinal bleeding. Thrombocythemia accounted for 67% (12 cases), mostly mild increase in the range of 40.4-69.5 million. Elevated erythrocyte sedimentation accounted for 71% (10 cases), 1gA increased accounted for 53% (15 cases). 3 cases of IgG was significantly lower, IgG were in the normal range. The authors found that thrombocytosis was significantly associated with abdominal pain (P = 0.004), with gastrointestinal bleeding