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儿童上消化道出血68例病因及诊治分析 被引量:2

Analysis of 68 Hemorrhage of Superior Digestive Tract in Children:Etiology, Diagnosis and Treatment
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摘要 目的了解儿童消化性溃疡的临床特点、诊治方法及并发症的防治。方法对68例经上消化道造影或纤维胃镜证实为消化性溃疡病例回顾分析。结果学龄儿童患病居多,腹痛、黑便是常见症状,少数以不明原因的贫血起病。合并上消化道出血者以十二指肠球部溃疡多见。结论儿童消化性溃疡临床症状不典型,幽门螺旋菌(Helicobacter pylori,Hp)感染是儿童消化性溃疡病的重要原因。H2受体拮抗剂、抗生素、铋剂为主的药物三联疗法可有效改善临床症状。 Objective To explore the clinical characteristics, diagnosis, treatment and complications, Prevention of children, s peptic ulcer. Methods Retrospective analysis of 68 cases diagnosed by GL or gastroscope . Results Schoolage children are the most part . Abdomen pain and tarry stools are common symptoms. A few of cases are attacked from anemia . Duodenal ulcer is common in complication of hemorrhage of upper digestive tract. Conclusion The clinical characteristics of childrens peptic ulcer are atypical. The leading cause of it is Hp, s infection. Triple therapy of H2 - receptor antagonists, antibiotics and bismuth can improve the clinical symptoms effectively.
出处 《同济大学学报(医学版)》 CAS 2006年第6期50-51,65,共3页 Journal of Tongji University(Medical Science)
关键词 儿童 消化性溃疡 出血 幽门螺旋菌 children peptic ulcer hemorrhage Helicobacter pylori
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