儿童巨大胃黏膜肥厚症1例并文献复习

One child with giant gastric mucosal hypertrophy and literature review

该文对1例巨大胃黏膜肥厚症患儿进行分析并文献复习,患儿,男,13岁,因头晕半年、面色苍白2个月于2022年6月27日收治于香港中文大学(深圳)附属第二医院。对患儿进行查体,实验室病理学检查,电解质、肾功能、心肌酶等实验室检查,24 h尿蛋白定量、尿微量白蛋白检查与血液细胞形态学检查。巨大肥厚性胃炎患者症状轻者不需要特殊治疗,只需要对症治疗。长时间顽固出血以致引起贫血,贫血症状严重且各种治疗无效时可考虑胃切除术。胃酸分泌过高的患者主诉胃痛,应给抗酸药、解痉药治疗。基于临床治疗预防长远角度来看,医疗人员不应忽视该病的长久发展。

This article analyzes a boy with giant gastric mucosal hypertrophy.This boy was 13 years old and was admitted to Second Hospital,Chinese University of Hong Kong(Shenzhen)on June 27,2022 because of dizziness for half year and pale look for 2 months.The boy took physical examination,laboratory pathological examination,and electrolytes,renal function,cardiac enzymes,and other laboratory examinations,as well as 4-hour urine protein quantification,urine microalbumin test,and blood cell morphology examination.If the patients with giant gastric mucosal hypertrophy have mild symptoms,they are symptomatically treated.Gastrectomy may be considered when long-term stubborn bleeding causes anemia,the symptoms of anemia are severe,and various treatments are ineffective.Patients with high gastric acid secretion complain of stomach pain should be treated with antacids and antispasmodics.From the long-term perspective of clinical treatment and prevention,medical staff should not neglect the long-term development of the disease.