学龄前期儿童反复无热性腹痛66例临床分析

Preschool children with repeated febrile abdominal pain without clinical analysis of 66 cases

目的:分析小儿反复无热性腹痛的原因及临床特点。方法:收集3～7岁儿童反复无热性腹痛病例66例,填写调查列表、食物日记,进行相关检查,对疑似过敏的食物,进行食物激药物发试验,随访半年后对其临床资料进行回顾性分析。结果:除6例有器质性病变退出观察外,其余60例患儿均伴随过敏性疾病,腹痛多有诱因,并经激发试验证实,这些诱因除一些高致敏性食物外,很大部分为寒凉的中药、中医属寒性的食物。结论:学龄前期儿童反复无热性腹痛有很大部分与过敏有关,需慎用寒凉的中药、中医属寒性的食物,记录食物日记积极查找过敏原。

Objective To analyse the causes and clinical features of children with recurrent abdominal pain without fever.Methods We collect 66 cases of 3～7 years old children with recurrent abdominal pain without fever cases,fill in the research tabulation and the food diary,do the coherence check,retrospectively analyzed the clinical data after six months follow-up.Results In addition to organic disease in 6 cases out of observation,The remaining 60 cases were associated with allergic diseases.Abdominal pain usually has incentive.Confirmed by provocation test,these incentives are mostly cold Chinese medicine,cold food in Chinese medicine and some of the high-protein food and antibiotics.Conclusion Recurrent abdominal pain without fever of Preschool children is largely related to allergy.Be careful to use the cold Chinese medicine,cold food in Chinese medicine and antibiotics,record the food diary and find the allergen positively.