婴幼儿反复呕吐消化道检查的两种方法比较

Comparing Two Methods in Searching the Pathogeny of the Recurrent Vomiting of Infants

目的 :为了探讨婴幼儿反复呕吐在消化道方面的病因 ,比较两种不同检查方法的临床诊断价值。方法 :婴幼儿反复呕吐 2周以上患儿分别行胃镜检查和消化道钡餐检查。结果 :胃镜检查阳性率为 95 .5 % (4 3/ 4 5 ) ;消化道钡餐检查阳性率为4 0 .0 % (18/ 4 5 )。结论 :胃镜检查方法明显优于消化道钡餐检查。对婴幼儿反复呕吐 ,结合其他病史考虑消化道疾病可能性大者 ,对于 6个月以上无明显梗阻表现的患儿 ,先选择作胃镜检查 ,胃镜检查而不能明确的病可配合消化道钡餐检查 ;对于 6个月以内有梗阻表现的患儿可先作消化道钡餐检查 ,必要时还建议做胃镜检查。两种检查互相补充 。

Objective: Comparing the clinical diagnosing values of gastroscopy and alimentary tract barium meal in searching the pathogeny of the recurrent vomiting of infants. Methods: Infants with recurrent vomiting more than two weeks were checked with gastroscopy and alimentary tract barium meal respectively. Results: The positive rate of gastroscopy was 95.5%(43/45);Positive rate of alimentary tract barium meal was 40.0%918/45). Conclusion:Gastroscopy was superior to alimentary tract barium meal . As to infants more than six months with recurrent vomiting,gastroscopy should be firstly close if there were no signs of obstruction;while to infants less than six months and sighs of obstruction ,alimentary tract barium meal should be firstly close.The two method were compensatory,but could not be replaced reciprocally.