中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
12期
34-36
,共3页
紫癜,过敏性%胰腺%儿童%体征和症状
紫癜,過敏性%胰腺%兒童%體徵和癥狀
자전,과민성%이선%인동%체정화증상
Purpura,Schoenlein-Henoch%Pancreas%Child%Signs and symptoms
目的 探讨过敏性紫癜(HSP)患儿伴胰腺受累的临床特征,并分析与其他系统受累的关系.方法 回顾性分析2008年2月至2013年7月206例HSP患儿的临床资料,检测血、尿淀粉酶,B超观察患儿胰腺形态,观察患儿皮肤、关节、消化道、肾脏受累的临床特征,分析患儿胰腺受累与其他系统受累的关系.结果 206例HSP患儿中伴胰腺受累58例,其中男31例,女27例.58例HSP伴胰腺受累的患儿均行胰腺B超检查,无一例伴胰腺水肿及结构改变回声.206例患儿中伴消化道受累126例,其中50例(39.7%,50/126)出现胰腺受累(血、尿淀粉酶升高);未伴消化道受累的80例患儿中仅有8例(10.0%,8/80)发生胰腺受累.HSP伴消化道受累患儿与未伴消化道受累患儿胰腺受累发生率比较差异有统计学意义(x2=14.355,P<0.01).混合型HSP患儿胰腺受累发生率[31.8%(55/173)]显著高于单纯型[9.1%(3/33)],差异有统计学意义(x2=18.292,P<0.01).HSP伴胰腺受累患儿住院时间为6~38 (10.39±6.80)d;不伴胰腺受累患儿住院时问为4~ 18(8.51±3.42)d,二者住院时间比较差异无统计学意义(t=5.790,P>0.05).结论 HSP患儿可伴胰腺受累,伴消化道受累及病变累及多系统的患儿更易伴胰腺受累.
目的 探討過敏性紫癜(HSP)患兒伴胰腺受纍的臨床特徵,併分析與其他繫統受纍的關繫.方法 迴顧性分析2008年2月至2013年7月206例HSP患兒的臨床資料,檢測血、尿澱粉酶,B超觀察患兒胰腺形態,觀察患兒皮膚、關節、消化道、腎髒受纍的臨床特徵,分析患兒胰腺受纍與其他繫統受纍的關繫.結果 206例HSP患兒中伴胰腺受纍58例,其中男31例,女27例.58例HSP伴胰腺受纍的患兒均行胰腺B超檢查,無一例伴胰腺水腫及結構改變迴聲.206例患兒中伴消化道受纍126例,其中50例(39.7%,50/126)齣現胰腺受纍(血、尿澱粉酶升高);未伴消化道受纍的80例患兒中僅有8例(10.0%,8/80)髮生胰腺受纍.HSP伴消化道受纍患兒與未伴消化道受纍患兒胰腺受纍髮生率比較差異有統計學意義(x2=14.355,P<0.01).混閤型HSP患兒胰腺受纍髮生率[31.8%(55/173)]顯著高于單純型[9.1%(3/33)],差異有統計學意義(x2=18.292,P<0.01).HSP伴胰腺受纍患兒住院時間為6~38 (10.39±6.80)d;不伴胰腺受纍患兒住院時問為4~ 18(8.51±3.42)d,二者住院時間比較差異無統計學意義(t=5.790,P>0.05).結論 HSP患兒可伴胰腺受纍,伴消化道受纍及病變纍及多繫統的患兒更易伴胰腺受纍.
목적 탐토과민성자전(HSP)환인반이선수루적림상특정,병분석여기타계통수루적관계.방법 회고성분석2008년2월지2013년7월206례HSP환인적림상자료,검측혈、뇨정분매,B초관찰환인이선형태,관찰환인피부、관절、소화도、신장수루적림상특정,분석환인이선수루여기타계통수루적관계.결과 206례HSP환인중반이선수루58례,기중남31례,녀27례.58례HSP반이선수루적환인균행이선B초검사,무일례반이선수종급결구개변회성.206례환인중반소화도수루126례,기중50례(39.7%,50/126)출현이선수루(혈、뇨정분매승고);미반소화도수루적80례환인중부유8례(10.0%,8/80)발생이선수루.HSP반소화도수루환인여미반소화도수루환인이선수루발생솔비교차이유통계학의의(x2=14.355,P<0.01).혼합형HSP환인이선수루발생솔[31.8%(55/173)]현저고우단순형[9.1%(3/33)],차이유통계학의의(x2=18.292,P<0.01).HSP반이선수루환인주원시간위6~38 (10.39±6.80)d;불반이선수루환인주원시문위4~ 18(8.51±3.42)d,이자주원시간비교차이무통계학의의(t=5.790,P>0.05).결론 HSP환인가반이선수루,반소화도수루급병변루급다계통적환인경역반이선수루.
Objective To explore the clinical characteristics of pancreas damage in children with Henoch-Sch(o)nlein purpura (HSP).Methods The clinical data of 206 HSP patients was analyzed from February 2008 to July 2013.The serum and urine example was detected by the automatic biochemical analyzer and the clinical characteristics of them was analyzed.The pancreatic morphology of patients was observed by type-B ultrasonic,and the clinical feature of skin,joints,digestive tract and kidney damage were observed.The relationship between pancreas damage and other systems damage was analyzed.Results There was 58 cases suffering from pancreas damage in 206 HSP children:31 cases were male,27 cases were female.There was no patients with pancreatic edema and deformation of structure in 58 patients.The incidence of pancreas damage with HSP combined with abdominalgia patients was 39.7% (50/126),which was obviously higher than that in the patients without abdominalgia 10.0% (8/80) (x2 =14.355,P < 0.01).The incidence of pancreas damage in mixed type of HSP [31.8 % (55/173)] was significantly higher than that in simple type of HSP [9.1% (3/33)] (x2 =18.292,P < 0.01).The mean hospital stay of the HSP patients with pancreas damage was 6-38 (10.39± 6.80) d,while without pancreas damage was 4-18 (8.51 ± 3.42) d,and there was no significant difference (t =5.790,P > 0.05).Conclusions The HSP children usually combine with pancreas damage.If they have abdominalgia and multi-system damage,they are more likely to be accompanied with pancreas damage,which should be paid more attention.