摘要
目的 :了解不同年龄组消化道出血的病因和合理的胃镜检查时间。方法 :对 10 7例临床疑似上消化道出血的患儿进行纤维胃镜检查。结果 :确诊为上消化道出血的 79例 (十二指肠溃疡 6 1例 ,胃溃疡 7例 ,食道静脉曲张 3例 ,食管炎 1例 ,贲门粘膜撕裂症 3例 ,十二指肠憩室 2例 ,膈疝 2例 ) ,小肠出血 6例 (3例小肠憩室 ,2例克隆氏病 ,1例小肠结核 ) ,咽血综合症 3例 ,未检查出病因 19例。结论 :十二指肠球部溃疡、胃溃疡是年龄较大儿童消化道出血最常见的原因 ,先天性消化道畸形是婴幼儿消化道出血的另一个重要原因 ,患儿在出血 48h内纤维胃镜检查阳性率最高 ,小儿上消化道出血急症胃镜检查是一种快速、准确、较安全的检查方法 。
Objective:To investigate the pathogeny of children with gastrointestinal hemorrhage and the right check-up time of gastrointestinal endoscopy.Methods:Check up 107 children with suspected upper gastrointestinal hemorrhage (UGH) by gastrointestinal endoscopy.Results:79 cases of UGH were diagnosed,including duodenal ulcer (61 cases),gastric ulcer (7 cases),esophageal varices (3 cases),esophagitis (1 case),cardia tear (3 cases),duodenal diverticulum (2 cases) and diaphragmatocele (2 cases);6 case of small intestine bleeding (including 3 cases of small intestine diverticulum,2 cases of Crohnn's disease and 1 case of enteric tuberculosis) and 3 cases of gulping blood syndrome were also diagnosed;the pathogeny of 19 cases were not clear.Conclusion:Gastric ulcer and duodenal bulb ulcer are the most common cause of gastrointestinal hemorrhage of elder children and inherited alimentary canal abnormality leads to gastrointestinal hemorrhage of infants.The positive reaches the highest level when the endoscopy examination is carried on within 48 hours after the lastest bleeding.
出处
《中国内镜杂志》
CSCD
2001年第3期48-49,共2页
China Journal of Endoscopy
关键词
消化道出血
纤维胃镜
儿童
病因
Gastrointestinal hemorrhage
Children
endoscopy
