21例奶蛋白过敏患儿临床特征分析及诊治方法

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。

Clinical Features,Diagnosis and Treatment of 21 Cases Children with Milk Protein Allergy

Objective： To explore the clinical features and diagnosis and treatment of milk protein allergy in children. Methods： Collected the clinical data of 21 cases children with milk protein allergy from our hospital in February 2012 to February 2013, Summarize and analyzed the Clinical manifestations,specific skinprick test, avoidance test,et al. Results： Children with skin mucous membrane, such as digestive tract symptoms appear time was earlier, eczema symptoms was the most （71.43%）, only 1 case appeared retardation children （4.76%）; skin prick test milk protein was 12 eases （57.14%）, avoidance test positive rate was 100.00%. Through improved diet and symptomatic treatment, 21 eases of children withskin and mucous membranes, gastrointestinal tract, respiratory system, and other symptoms usually disappeared within 4 weeks, Retardation after 2-4 weeks of treatment in the formal slowly eased and awayed within 8 weeks. Conclusion： Milk protein allergy is the lack of specific symptoms, clinical symptom onset after strengthening laboratory examination; diagnosis based on detailed medical history, can reduce the occurrence of misdiagnosis, treat in timeso as to ensure the normal growth and development of children.