Prescription for the treatment of Henoch Schonlein purpura

summary

The child is 5 years old. On August 22, he suffered from stomachache and vomiting. He had been vaccinated against poliomyelitis on that day. At that time, he thought that the child had a cold and could not get better after hanging water. Later, he was diagnosed as allergic purpura. After treatment by the doctor, he has been much better. I would like to share with you my experience in the treatment of allergic Pura

Prescription for the treatment of Henoch Schonlein purpura

Treatment one: general therapy should be bed rest in acute stage. The diet should be free of protein, less residue and half flow. Those with gastrointestinal bleeding, such as mild abdominal pain and positive occult blood, can be fed with liquid food. Those with severe abdominal pain and bloody stool should be fasted. If there is bacterial infection before onset, penicillin should be used for 10 days. Pay attention to find and avoid allergens. School age children with gastrointestinal or nephritis symptoms will return to school 3 months after symptoms disappear.

Treatment 2: general cases do not need hormone treatment, hormone effect on purpura is not good. Hydrocortisone (5-10mg / kg · d) can be given intravenously in patients with gastrointestinal bleeding. After symptoms disappear, prednisone can be taken orally. The total course of treatment is 2-3 weeks. For renal disease, hormone has no significant effect. Immunosuppressant, cyclophosphamide or thiazolidine can be used. Some people use methylprednisolone pulse therapy, 30mg / kg each time, intravenous drip within 1 hour, once every other day, 6 times as a course of treatment, the curative effect needs to be further observed.

Treatment 3: some people use urokinase to treat Purpura Nephropathy until diuresis detumescence. Its function is to reduce the deposition of fibrin in glomeruli. The dosage was 20 000 per person, intravenous injection, once a day for 20 days. No side effects were found. The effective rate of anisodamine and vitamin C was 92%.

matters needing attention

I would also like to emphasize that the focus of infection should be completely removed and the possible source of infection should be kept away. In addition to diet and daily necessities, infection is the most important factor causing Henoch Schonlein purpura. Therefore, we must exercise properly, strengthen our own constitution, prevent infection, and actively treat infection once it is found.