33例消化道出血患儿病因分析

THE STUDY ON THE CAUSES OF HEMORRHAGE OF DIGESTIVE TRACT IN 33 CHILDREN CASES

目的：了解儿童消化道出血的病因。方法：采用回顾性调查方法对３３例消化道出血患儿进行病因分析。结果：３３例消化道出血患儿中，由十二指肠球部溃疡引起的消化道出血有２１例（６３６％），十二指肠球部溃疡伴浅表性胃炎２例（６０％），糜烂性胃炎１例（３０％），胃溃疡１例（３０％），空肠息肉１例（３０％），消化道多发性息肉综合症１例（３０％），血小板减少性紫瘢１例（３０％），过敏性紫瘢１例（３０％），肝硬化食道下段静脉曲张１例（３０％），青紫型先天性心脏病（单心室）１例（３０％），不明原因者２例（６０％）。结论：十二指肠球部溃疡及胃炎、胃溃疡是儿童时期消化道出血的最常见病因。

Objective: To explore the causes of hemorrhage of digestive tract in children Methods:33 cases of hemorrhage of digestive tract were studied through restropective investigation Results:The causes of hemorrhage of digestive tract in the 33 patients are the following: duodenal bulbar ulcer for 21 cases(63 6%),duodenal bulbar ulcer with superficial gastritis for 2 cases(6 0%),erosive gastritis for 1 case(3 0%), gastric ulcer for 1 case(3 0%),jejunum polypus for 1 case(3 0%), Peutz-Jeghers syndrome for 1 case(3 0%), thrombocytopenic purpura for 1 case(3 0%), allergic purpura for 1 case(3 0%),lower esophageal varicosis due to cirrhosis of liver for 1 case(3 0%), cyanotic congenital malformation(single ventricle) for 1 case(3 0%), and there also was 2 idiopathic case(6 0%) Conclusion:Duodenal bulbar ulcer, gastritis and gastric ulcer are the most common causes of hemorrhage of digestive tract in children