小儿上消化道出血内镜检查80例临床分析

• 作 者: 韩家忠 李兆申 许国铭 孙振兴
• 机 构: 第二军医大学长海医院消化内科
• 出 处: 南通医学院学报
• 发表日期: 1998年02期
• 关键词: 上消化道出血 儿童 内镜检查 出血病因

为了解儿童病例内镜检查效果，对８０例５～１２岁小儿上消化道出血应用成人内镜检查的资料作回顾性分析。结果８０例患儿内镜检查均获成功，无任何不良反应；内镜检查阳性率（９０．０％）略低于成人；出血原因主要为十二指肠球部溃疡（６０．０％）和炎症（１２．５％）；出血诱因主要为疲劳及精神紧张（４７．５％），饮食不良（３５％）。分析表明，儿童应用内镜检查安全可靠，有助于明确出血病因，及时治疗。

In order to understand the effect of endoscopy in children, we retrospectively analyzed the data of 80 cases of pediatric upper gastrointestinal bleeding from 5 to 12 years old. Results All the 80 cases were successful in endoscopy without any adverse reactions. The positive rate of endoscopy (90.0%) was slightly lower than that in adults. The main causes of bleeding were duodenal ulcer (60.0%), And inflammation (12.5%). The major causes of bleeding were fatigue and stress (47.5%) and poor diet (35%). Analysis shows that children’s application of endoscopy is safe and reliable, helps to clarify the cause of bleeding, timely treatment.