儿童消化性溃疡43例分析

The analysis on 43 Children with peptic ulcer

目的:探讨儿童消化性溃疡(PU)的特点。方法:对43例经内镜检查诊断为消化性溃疡的临床资料及诊治进行分析。结果:内镜检查发现十二指肠溃疡(DU)31例,占72.1%,胃溃疡(GU)10例,占23.2%,食管溃疡2例,≤6岁组,6例,其中食管溃疡2例,GU2例,DU2例;>6岁组37例(占86%),GU8例(21.6%),DU29例(78.4%)。发生上消化道出血20例,占本组46.5%。H.pylori检出率为30/38(78.9%)例,其中GU为6/8例,DU为23/28例,食管溃疡仅1例为阳性。结论:学龄前期儿童各种类型PU患病率基本相同,学龄期则以DU为主;H.pylori感染是小儿PU发病的重要原因,PU也是小儿上消化道出血的主要原因。

Objective：To analyze clinical feature of children＇s peptic ulcer（PU） patients. Methods.to analyze the clinical data and treatment of 43 children diagnosed as peptic ulcer through endoscopy. Results ： Among 43 cases 31 were duodenal ulcer （DU） （72.1%）,10 gastric ulcer （GU）（23.2%） and 2 oesophageal ulcer （4.7%）.6 patients below 6, among themDU 2, GU 2 and oesophageal ulcer 2. 37 patients were above 6, GU 8（21.6%）,DU 29 （78.4%）. 20 patients （46.5%） had upper gastrointestinal hemorrhage of 43.Detection rate of Helicobacter pylori （H.pylori） was 78.9%（30/38）,mong them 75.0%（6/8） of GU, 82.1%（23/28） of DU and 1 oesophageal ulcer were positive. Conclusion： The rates of all kinds peptic ulcer were similar in pre-school age, but DU is predominant in school age. Infection of H.pylori is main cause of peptic ulcer, and peptic ulcer is also main cause of upper gastrointestinal hemorrhage.