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目的探讨小儿消化性溃疡的病因及诊断方法。方法对我院1986~1997年收治的38例小儿消化性溃疡病例进行回顾性分析。结果 38例中有家族史29例。诊断方法:钡餐27例,胃镜8例,手术证实3例。治疗方法:药物29例,手术9例,其中部分胃切除3例。结论本组小儿消化性溃疡与遗传及精神因素有关;临床表现呈多样性;X 线钡餐为主要诊断手段;以保守治疗为主,手术以单纯缝合或缝合止血为首选方式。
Objective To investigate the etiology and diagnosis of peptic ulcer in children. Methods A retrospective analysis of 38 cases of pediatric peptic ulcer admitted to our hospital from 1986 to 1997. Results There were 29 cases of family history in 38 cases. Diagnosis: barium meal in 27 cases, 8 cases of endoscopy, 3 cases confirmed by surgery. Treatment: 29 cases of drugs, surgery in 9 cases, of which 3 cases of partial gastrectomy. Conclusion This group of children with peptic ulcer and genetic and mental factors; clinical manifestations were diverse; X-ray barium meal as the main diagnostic tool; mainly conservative treatment, surgery alone suture or suture hemostasis is the preferred method.