儿童消化性溃疡72例临床分析

Clinical Analysis on 72 Cases with Children Peptic Ulcer

目的探讨儿童消化性溃疡的临床特点。方法对1999年至2005年期间72例儿童消化性溃疡的内镜检查和临床资料进行回顾性分析。结果:儿童消化性溃疡男性多于女性,男女之比3.8∶1;十二指肠球部溃疡为主,占90.3%;幽门螺杆菌感染率为87.5%;症状多变,腹痛、黑便是常见症状;部分患儿有不良饮食习惯和一定的精神因素;有遗传倾向的占31.9%。结论儿童消化性溃疡临床症状不典型,致病因素多样,幽门螺杆菌感染与儿童消化性溃疡密切相关。儿童内镜检查安全可靠。儿童消化性溃疡内科治疗疗效好。

Objective To study clinical characteristics of children peptic ulcer . Methods The clinical dates and the results of gastroscopic examination on the 72 cases of children during 1999 - 2005 were analyzed retrospectively . Results The boy peptic ulcer was more often than the girl＇s , the ratio of male to female was 3.8 ： 1 ; duodenal ulcer in children occurred more often in 90.3% , Positive tests for Helicobacter pylori were found in 87.5% , abdominal pain and hematochezia were common;Some children had bad habits of eating and mental reason. 31.9 % of children peptic ulcer had a hereditary tendency for families . Conclusions The clinical characteristics of children peptic ulcer were not unusual , Helicobacter pylori infected was associated with children peptic ulcer . The children gastroscopic examination is safe and reliable, they cured with proper medicine, will get well.