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目的 :总结儿童脊柱源性腹痛的特点和在治疗上与成人的异同之处。方法 :通过 18例的临床诊断与治疗分析 ,主诉腹痛而无腰痛 ,体征有深压到椎体与轻按腰 3横突有剧痛 ,治疗上可用封闭、理疗、小金刀、中西药治疗 ,提出用撑起上肢抬头爬行法代替成人的腰背肌锻炼法 ,同时提出儿童坐姿要正确 ,锻炼前要做准备动作 ,防止腰部急性损伤。结果 :通过详细的体检纠正了 13例误诊 ,18例均得到了及时有效的治疗。结论 :脊柱源性腹痛可发生于儿童 ,通过认真体检、综合治疗可以防止误诊误治。
Objective: To summarize the characteristics of children with spine-derived abdominal pain and the similarities and differences between them in treatment and in adults. Methods: Through the clinical diagnosis and treatment of 18 cases, the main complaint of abdominal pain without back pain, signs of deep pressure to the vertebral body and light press the waist 3 severe pain, the treatment can be closed, physiotherapy, small gold knife, Chinese and Western medicine, Proposed to hold up the rise of the head Crawling instead of adult lumbar muscle training method, and also proposed that children should be correct sitting position, to be prepared before exercise action to prevent the waist acute injury. Results: 13 cases of misdiagnosis were corrected through detailed physical examination, and 18 cases were treated promptly and effectively. Conclusion: Spinal pain can occur in children. Through careful examination and comprehensive treatment, misdiagnosis and mistreatment can be prevented.