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小儿上消化道出血56例胃镜分析

Gastroscopic Findings of Upper Gastrointestinal Tract Hemorrhage in Children
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摘要 目的 探讨小儿上消化道出血的病因。方法 对 5 6例上消化道出血患儿进行电子胃镜检查 ,分析其结果。结果 发现病变者 5 3例 (94 .6 % )。以十二指肠球部溃疡最多见 ,有 38例 (6 7.9% ) ;其次为重度浅表性胃炎 4例(7.1% ) ;其它依次为十二指肠球炎伴胃炎 8例 (14 .3% ) ;食管炎 2例 (3.6 % )和胃溃疡 1例 (1.8% ) ;检测幽门螺杆菌阳性 32例 (5 7.1% )。结论 小儿上消化道出血好发于学龄期儿童 ,以十二指肠球部溃疡所致出血最多见 。 Objective To study the etiology of upper gastrointestinal tract hemorrhage in children.Methods fifty-six children with upper gastrointestinal tract hemorrhage were examined by gastroscopy.Results Abnormal findings were noted in 94.6% of patients, with duodenal bulbar ulcer being the commonest disorder(67.9%).Other abnormalities included severe superficial gastritis(7.1%),duodenitis accompanied by gastritis(14.3%),esophagitis(3.6%) and gastric ulcer(1.8%).HP test was positive in 57.1% of patients.Conclusion Upper gastrointestinal tract hemorrhage occurs frequently in children of school-age. Duodenal bulbar ulcer is commonly observed and has a close correlation with HP infection.
出处 《江西医学院学报》 2004年第3期68-69,共2页 Acta Academiae Medicinae Jiangxi
关键词 上消化道出血 胃镜检查 小儿 upper gastrointestinal tract hemorrhage gatroscopy child
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