小儿消化道溃疡合并幽门梗阻临床观察

Clinical Observation on Peptic Ulcer Complicated With Pyloric Obstruction in Children

目的探讨小儿消化道溃疡合并幽门梗阻的临床症状和特征。方法选择消化道溃疡合并幽门梗阻患儿31例,并对临床资料、辅助检查数据进行整理,提供外科手术治疗,并对开放性手术后病症情况和术后治疗效果进行记录。结果患儿血红蛋白含量为(91.82±3.69)g/L,B超下可见胃腔明显扩张,胃肠道蠕动情况呈明显异常。手术下发现患儿幽门管狭窄,消化道存在不同程度的溃疡性病灶,幽门螺杆菌阳性率为54.84%。经治疗后溃疡面愈合率为93.55%,幽门螺杆菌根除率为94.12%,1例未根除者出院6个月后病情复发。结论小儿消化道溃疡合并幽门梗阻的临床特征不够明显,需借助影像学或胃镜检查数据进行诊断,可采用外科手术方法治疗。

Objective To investigate the clinical symptoms and characteristics of peptic ulcer in children with pyloric obstruction. Methods 31 cases of children with peptic ulcer complicated with pyloric obstruction were selected as the study object. The clinical data, auxiliary examination data, provide surgical treatment, and record the treatment effect on the symptoms and open surgery after surgery. Results The hemoglobin content of children was （91.82 ± 3.69） g/L, the gastric lumen was significantly expanded under B ultrasound, and the gastrointestinal motility was obviously abnormal. Pyloric stenosis was found in children under operation, and there were different degrees of ulcerative lesions in the digestive tract. The positive rate of Helicobacter pylori was 54.84%. After treatment, the ulcer surface healing rate was 93.55%, the eradication rate of Helicobacter pylori was about 94.12%, and the recurrence rate of the patients in the treatment group was 6 months after discharge for the first time in 1 cases. Conclusion Clinical features of children with peptic ulcer complicated with pyloric obstruction are not obvious, so we need to use the imaging or gastroscopy data for diagnosis.