小儿腹痛病因分析

Study of etiological facor of infantile abdominal pain

目的:分析小儿腹痛病因,帮助诊断。方法:对520例儿科住院腹痛患儿进行回顾性分析。结果:本组患儿腹痛病因多种多样,儿内科疾病477例,占91.7%,其中的腹内疾病315例,占60.6%,腹外疾病162例(其中呼吸系统97例,心血管系统7例,变态反应性疾病23例,泌尿系统11例,神经系统1例,内分泌系统2例,血液系统9例,其他12例)占31.2%,儿外科疾病43例,占8.3%。结论:小儿腹痛病因多种多样,诊断需结合病史、全面体检和必要的辅助检查。只有综合分析才能了解腹痛病因,及时正确作出诊断。

Objective：To analyze the etiological factors and assist diagnosis of abdominal pain in infants.Methods：520 cases of infantile abdominal pain in pediatrics ward from Jan 2004 to Jan 2006 were studied on medical history ,clinical manifestation,physical sign and laboratory examination. The causes of abdominal pain in infants were investigated. Results：The cause of infantile abdominal pain was multiformity,ineluding 477 medical diseases（91.7%） and 43 surgical diseases（8.3%）. There were 315 endo- abdomen（60.6%） and 162 ecto- abdomen（31.2%） in medical diseases.The ecto-adomen disease involved the respiratory system（97 cases）,cardiovascular system（7 eases） ,allergic disorder（23 cases）,urinary system （11 cases）,nervous system （1 cases）,endocrine system（2 cases）,hematological system （9 eases）and other （12 cases）. Conclusion ：The etiological factor of infantile abdominal pain was multiplicity, therefore, the diagosis of abdominal pain must combine medical history, overall signs and reasonable lab-examation.Aggregating analysis of etiological factors of infantile abdominal pain can effectively prevent misdiagnosis and missed diagnosis