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目的探讨儿童过敏性紫癜并发急性胰腺炎的临床特征。方法回顾性分析20例过敏性紫癜并急性胰腺炎患儿的临床资料。结果 20例胰腺受累均发生于疾病急性期,患儿均有典型皮疹、腹痛;血淀粉酶(352±28)u/L,尿淀粉酶(1 530±256)u/L,均明显升高;胰腺B超显示胰腺体积增大,边缘模糊;腹部CT显示胰腺形态饱满,弥漫性增大。结论对腹型紫癜患儿常规行血、尿淀粉酶检测及胰腺影像学检查,可早期诊断过敏性紫癜并发急性胰腺炎。
Objective To investigate the clinical features of children with Henoch-Schonlein Purpura complicated with acute pancreatitis. Methods The clinical data of 20 children with Henoch-Schonlein purpura and acute pancreatitis were retrospectively analyzed. Results All the 20 cases of pancreatic involvement occurred in the acute stage of the disease. All the patients had typical rash and abdominal pain. Blood amylase (352 ± 28) u / L and urinary amylase (1 530 ± 256) u / L were significantly increased ; Pancreatic B ultrasound showed pancreas increased volume, fuzzy edge; abdominal CT showed pancreas full form, diffuse increase. Conclusion Children with abdominal purpura routine blood, urine amylase and pancreatic imaging examination, early diagnosis of Henoch-Schonlein purpura complicated by acute pancreatitis.