儿童消化性溃疡38例临床分析

Clinical Analysis of 38 Cases of Children's Peptic Ulcer

目的:探讨儿童消化性溃疡的临床表现及诊疗方法。方法:对我科收治的38例消化性溃疡患儿的临床资料进行回顾性分析。结果:胃部溃疡5例(13.2%),十二指肠溃疡31例(81.6%);27例(71.1%)呈多发性的,31例(81.6%)存在明显的危险因素,其中有20例(52.6%)HP检测阳性;35例(92.1%)治疗痊愈,3例(7.9%)未愈;出院后3个月、6个月时分别随访1次,共3例复发,其中2例为HP阳性患儿。结论:小儿消化性溃疡症状不典型,发病和HP感染、遗传因素、饮食习惯、药物作用等多种因素有关系。治疗要根除HP,防止复发。

Objective： To investigate the clinical manifestations, diagnosis and treatment of children＇s peptic ulcer. Methods：Clinical data of 38 cases of children＇s peptic ulcer were retrospectively analyzed. Results：There were 5 cases （13. 2%）of stomach ulcer, 31 cases（81.6%）of duodenal ulcer. 27 cases （71. 1%） were multiple, and 31 cases （81.6%）there were obvious risk factors, of which 20 cases （52.6%） of HP testing were positive; 35 cases （92. 1%） cured,3 patients （7. 9%） not healed;all patients were followed-up after discharged for 3 months and 6 months respectively, there were total of 3 cases of recurrence, of which 2 cases were HP-positive. Conclusion： Children＇s peptic ulcer had atypical symptoms, the occurrence were related with HP infection, genetic factors, diet, drugs and other factors. To prevent recurrence, HP should be eradicated in treatment.