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本文报道二年内收治的7例小儿应激性溃疡的临床诊治体会,其中2例胆道或十二指肠大出血致应激性溃疡,5例因应激性溃疡引起消化道出血。讨论了小儿应激性溃疡在临床上实际发病率相当高应引起注意,小儿以十二指肠溃疡多见。作者结合文献复习和自己的治疗经验,提出小儿应激性溃疡的具体防治措施。对患病小儿或高危病人,除改善全身情况外,予以H_2受体拮抗剂如甲氰咪呱,或抗酸药物及高pH的复方要素饮食,并根据本组病例的治疗体会着重强调由于消化道大出血产生的应激状态造成的应激性溃疡极易迷惑诊断,延误处理,造成严重后果,应引起临床的高度注意。
This article reports the clinical diagnosis and treatment of 7 cases of pediatric stress ulcer admitted in two years, of which 2 cases of stress ulcer caused by biliary tract or duodenal hemorrhage and 5 cases of gastrointestinal bleeding caused by stress ulcer. Discussed the high incidence of clinical stress ulcer in children should be noted that children with duodenal ulcer more common. The author combined literature review and his own experience in treatment, put forward specific prevention and treatment measures of stress ulcer in children. For the sick children or high-risk patients, in addition to improving the general condition, to H 2 receptor antagonist such as cimetidine, or antacid drugs and high-pH compound factor diet, and according to the treatment of this group of patients emphasize the importance of digestion Road bleeding caused by stress caused by stress ulcer easily confused diagnosis, delay treatment, causing serious consequences, should cause clinical attention.