不同年龄段腹痛患儿的临床及胃镜特点分析

Clinical and gastroscopic features of children with abdominal pain in different age stages

目的通过对不同年龄段腹痛小儿胃镜及临床特点进行分析比较,以了解不同年龄段腹痛患儿的病变特点。方法选取我院268例就诊的有腹痛症状小儿,根据年龄将其分成3组,对其进行胃镜检查,分析其临床表现,并对其胃镜结果进行对比分析。结果 7～15岁儿童胃镜结果显示病变阳性率高于3～6岁儿童。引起腹痛病变中各组以慢性浅表性胃炎最常见,其次为腹型过敏性紫癜,溃疡相对少见。其中腹型过敏性紫癜在3～6岁组与7～10岁组最常见,溃疡病变相对发病较少,主要在11～15岁组患儿多见。结论不同年龄段腹痛患儿病变特点有所不同,胃镜检查对其有重要的诊断价值。

Objective To analyze and compare the gastroscopic and clinical characters of children with abdominal pain in order to understand the pathological features of children in different age stages. Methods 268 children with ab dominal pain were devided into three groups according to the age. Clinical manifestations and gastroscopic results were analysed and compared. Results The gastroscopic results showed that the positive rate was higher in children at the age of 7 - 15 years old than children of 3 - 6 years old. Chronic superficial gastritis was the most common cause in children with abdominal pain, the second was abdominal anaphylactoid purpura, ulcer was relatively rare. Abdominal anaphylac toid purpura usually occurred in less than 10-year-old children, ulcer mainly in 11 -15 years old children. Conclusion The pathological features of children with abdominal pain are different in different age stages, gastroscopy has impor tant diagnostic value.