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目的:探讨奶蛋白过敏患儿的临床特点及诊治方法。方法:收集2012年2月-2013年2月我院接诊的21例奶蛋白过敏患儿的临床资料,将临床表现、特异性皮肤点刺试验、回避试验等结果进行总结分析。结果:患儿皮肤粘膜、消化道等症状出现时间较早,湿疹症状出现最多(71.43%),仅有1例患儿出现发育迟缓(4.76%);皮肤点刺试验奶蛋白阳性者12例(57.14%),回避试验阳性率为100.00%;经过改善饮食及对症治疗,21例患儿皮肤粘膜、消化道、呼吸道系统等症状一般在4周内消失,发育迟缓在正规治疗2-4周开始缓解,8周内消失。结论:奶蛋白过敏缺乏特异症状表现,临床在出现症状后加强实验室检查。结合详细病史进行确诊,才能减少误诊的发生,及时治疗,保证患儿的正常生长发育。
Objective: To investigate the clinical features, diagnosis and treatment of milk protein allergy in children. Methods: The clinical data of 21 cases of milk protein allergy in our hospital from February 2012 to February 2013 were collected, and the clinical manifestations, specific skin prick tests and avoidance tests were summarized. Results: The onset of symptoms such as skin mucous membrane and digestive tract were earlier in children with symptoms of eczema (71.43%), only 1 child (4.76%) with delayed development, 12 cases of skin prick test 57.14%). The positive rate of avoidance test was 100.00%. After improvement of diet and symptomatic treatment, the symptoms of skin and mucous membranes, digestive tract and respiratory system in 21 children disappeared within 4 weeks. The developmental delay started 2-4 weeks after formal treatment Relieved, disappeared within 8 weeks. Conclusions: Milk protein allergy lacks specific symptoms and clinically enhances laboratory tests after symptoms appear. Combined with a detailed history of diagnosis, can reduce the incidence of misdiagnosis, timely treatment, to ensure the normal growth and development of children.