小儿急性扁桃体炎诱发过敏性紫癜1例
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摘要
小儿急性扁桃体炎诱发过敏性紫癜的报道较少,并且临床上此类患儿早期易被误诊、漏诊,治疗上可能存在争议。报道1例急性扁桃体炎诱发过敏性紫癜患儿经西医抗感染、改善毛细血管通透性,中成药清热解毒、利咽消肿治疗后痊愈的典型病例,以期为临床提供借鉴。
The reports of Henoch-Schonlein purpura induced by acute tonsillitis in children are fewer.In addition,such children are prone to misdiagnosis and escaped diagnosis in early clinical practice.There may be controversy over treatment.There is a typical case of a child with Henoch-Schonlein purpura induced by acute tonsillitis who was cured after anti-infection,with improvement of capillary permeability by Western medicine,clearing away heat and removing toxin as well as relieving sore-throat and diminishing swelling by Chinese patent medicine,and it is reported for clinical reference.
The reports of Henoch-Schonlein purpura induced by acute tonsillitis in children are fewer.In addition,such children are prone to misdiagnosis and escaped diagnosis in early clinical practice.There may be controversy over treatment.There is a typical case of a child with Henoch-Schonlein purpura induced by acute tonsillitis who was cured after anti-infection,with improvement of capillary permeability by Western medicine,clearing away heat and removing toxin as well as relieving sore-throat and diminishing swelling by Chinese patent medicine,and it is reported for clinical reference.
引文
[1]彭向东,陈立民,王金辉.盐酸克林霉素与喜炎平注射液对急性化脓性扁桃体炎患儿的疗效[J].中国耳鼻咽喉头颈外科,2015,22(4):204-206.
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[3]李黎,徐丽琼.A 族溶血性链球菌感染致过敏性紫癜的临床特点及误诊原因分析[J].实用医学杂志,2012,28 (11):1899-1901.
[4]中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会.儿童急性扁桃体炎诊疗——临床实践指南(2016年制定)[J].中国实用儿科杂志,2016,32(3):161-164.
[5]霍小燕,杨文,肖震.阿莫西林克拉维酸钾分散片治疗急性扁桃体炎的疗效观察[J].中国校医,2015,29(8):603-606.
[6]刘秀霞,欧阳林,孙海胜.蓝芩口服液[J].中国新药杂志,2002,11(9):734.
[7]张慧,南虎松,苑思羽.儿童过敏性紫癜的治疗进展[J].吉林医学,2017,38(6):1137-1139.
[8]李海霞,罗银河.中医药治疗小儿过敏性紫癜用药规律探讨[J].河北中医,2015,37(4):556-558.
[9]李丽.过敏性紫癜的病因及发病机制研究进展[J].中国医药指南,2013,11(27):67-68.
[10]诸葛瑞玉,王飞.儿童过敏性紫癜发病机制探讨[J].世界最新医学信息文摘,2018,18(9):113-114.
[2]王海涛.喜炎平联合克林霉素治疗小儿急性化脓性扁桃体炎的疗效评价[J].河南医学研究,2015,24(10):91-92.
[3]李黎,徐丽琼.A 族溶血性链球菌感染致过敏性紫癜的临床特点及误诊原因分析[J].实用医学杂志,2012,28 (11):1899-1901.
[4]中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会.儿童急性扁桃体炎诊疗——临床实践指南(2016年制定)[J].中国实用儿科杂志,2016,32(3):161-164.
[5]霍小燕,杨文,肖震.阿莫西林克拉维酸钾分散片治疗急性扁桃体炎的疗效观察[J].中国校医,2015,29(8):603-606.
[6]刘秀霞,欧阳林,孙海胜.蓝芩口服液[J].中国新药杂志,2002,11(9):734.
[7]张慧,南虎松,苑思羽.儿童过敏性紫癜的治疗进展[J].吉林医学,2017,38(6):1137-1139.
[8]李海霞,罗银河.中医药治疗小儿过敏性紫癜用药规律探讨[J].河北中医,2015,37(4):556-558.
[9]李丽.过敏性紫癜的病因及发病机制研究进展[J].中国医药指南,2013,11(27):67-68.
[10]诸葛瑞玉,王飞.儿童过敏性紫癜发病机制探讨[J].世界最新医学信息文摘,2018,18(9):113-114.