儿童肝胆疾病与腹痛

Abdominal pain of hepatobiliary disease in children

儿童肝胆疾病引起腹痛最常见的病因有慢性肝炎、Oddi括约肌功能障碍、胆管炎、胆囊炎、胆总管囊肿及胆管运动紊乱等。其临床表现为右上腹钝痛。胆管蛔虫症多为绞痛,常有肝脏肿大,合并感染时有发热、黄疸、白细胞增高等。病史、体征和影像学检查有助于诊断。

The most common etiology of abdominal pain inchildren caused by liver and biliary disease is chronic hepatitis,sphincter of Oddi dysfunction,cholangitis,cholecystitis,choledochal cyst and biliary movement disorder,presented with right upper abdominal dull pain,but clinical manifestation of biliary tract roundworm disease is colic,always complicated with hepatomegaly. Children coinfected with microorganism often have fever,jaundice,increased white blood cells,etc. History,physical sign and imaging examinations are useful to the diagnosis.