口腔医学研究

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (9): 961-963.DOI: 10.13701/j.cnki.kqyxyj.2016.09.017

• 临床研究论著 • 上一篇    下一篇

以牙痛为首发症状的过敏性紫癜患儿10例

钟雯怡1,李同欢2,向文安3,刘来振1,刘尔黎1,兰春1,刘建国1*   

  1. 1. 遵义医学院附属口腔医院儿童牙病科 贵州 遵义 563003
  • 收稿日期:2016-01-26 出版日期:2016-09-26 发布日期:2016-09-26
  • 通讯作者: 刘建国,E-mail:18798680011@163.com
  • 作者简介:钟雯怡(1978~ ),女,广东人,硕士,副教授,主要从事儿童牙病的临床治疗工作。
  • 基金资助:
    贵州省卫生厅科技项目 黔卫发(2012)84号
    贵州省科学技术基金 黔科合LH【2014】7596号
    遵义市科技局 遵市科合社字(2013)39号
    省市科技合作专项资金项目合同号:省市科合(2014)41号

Ten Cases of Henoch Schonlein Purpura in Children with Toothache as the First Symptom

ZHONG Wen-yi1, LI Tong-huan2, XIANG Wen-an3, LIU Lai-zhen1, LIU Er-ni1, LAN Chun1, LIU Jiang-guo1*   

  1. 1. Department of Pediatric and Preventive Dentistry, Hospital of Stomatology, Zunyi Medical College, Zunyi 563003, China;
    2. Department of Pediatrics, Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China;
    3. ZhengAn County Traditional Chinese Medicine Hospital, ZhengAn 563400, China
  • Received:2016-01-26 Online:2016-09-26 Published:2016-09-26

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摘要： 目的:通过对10例以牙痛为首发症状的过敏性紫癜患儿临床资料回顾,总结其临床特点及治疗经验,以期早发现早确诊。方法:对2010年1月~2015年12月于遵义医学院附属口腔医院儿童牙科就诊的10例根尖周炎并发过敏性紫癜患儿的临床资料进行分析。结果:10例全部接受牙体治疗,其中9例住院1次治愈出院,1例口腔内其余牙根尖周炎再发及入院2次。结论:过敏性紫癜可以牙痛为首发症状,但并未引起口腔科及多数儿科医生的警惕,导致误诊,因此打牢临床基本功,加强学科合作有利于早期发现及治疗。

关键词: 过敏性紫癜, 根尖周炎, 牙痛, 误诊

Abstract: Objective: To summarize the clinical features and therapeutic experience of Henoch Schonlein purpura in children with toothache as the first symptom. Methods: Clinical data of 10 cases acute periapical periodontitis complicated by Henoch Schonlein purpura in children were analyzed in Affiliated Stomatological Hospital of Zunyi Medical College from January 2010 to June 2015. Results: Ten patients all received dental treatment. Among them 9 cases were hospitalized once and cured, while 1 case was hospitalized twice because of the periapical periodontitis in the remaining teeth. Conclusion: As the first symptom of HSP, toothache can lead to the misdiagnosis which usually fails to cause the vigilance of the Department of Stomatology or pediatricians. Therefore, solid basic skills in clinic and strengthened discipline cooperation are conducive to early detection and treatment of HSP.

Key words: Henoch-Schonlein purpura, Periapical periodontitis, Toothache, Misdiagnosis

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