58例小儿上消化道出血的临床及内镜资料分析

The Analysis of Clinical and Endoscopic Documents for 58 Children with Upper Gastrointestinal Bleeding

对５８例小儿上消化道出血的临床及内镜资料进行了分析。内镜对小儿上消化道出血的病因检出率达８９．６６％，出血的病因以消化性溃疡居首位，占４１．３７％，其次为慢性浅表性胃炎（１５．５１％）、急性胃粘膜损伤（１３．７９％）和十二指肠炎（６．８９％）。急症内镜对急性胃粘膜损伤的检出率明显高于择期内镜检查，揭示小儿胃粘膜的再生能力强，病变愈合迅速。

The clinical features and endoscopic findings for 58 children with upper gastrointestinal bleeding were analysed.The positive rate of etiologic diagnosis with endoscopy for childhood upper gastrointestinal bleeding was 89.66%.Peptic ulcer was the cause of bleeding in 41.37% of the cases,chronic gastritis in 15.51%,acute gastric mucosal lesion (AGML) in 13.79%,and duodenitis in 6.89%. The diagnostic accuracy with emergency endoscopy for AGML was much higher than that with non-emergency endoscopy,it indicated that children's gastric mucosa has a strong regenerative ability.