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小儿消化性溃疡较少见,由于症状隐匿无典型的发病规律,因而临床诊断困难,现将我院儿科1980～1990年收治的30例,报告如下。临床资科一、一般资料分析全组病例经X线钡餐检查23例,纤维胃镜检查7例而确诊,其中十二指肠溃疡23例(76.6％),胃溃疡7例(23.4％),男22例(73.3％),女8例(26.7％),年龄最小者23天1例(3.3％),4～7岁8例(26.6％),8～14岁21例(70％),故多数为学龄儿童。二、临床特征本组30例中,腹痛26例(86.6％),其中诉上腹部疼痛者7例(26.9％),表现脐周疼痛者19例(73.1％),呕吐14例(46.6％),其中呕血者7例(23.3％),便血23例(76.6％),其中黑便15例(50％),上消化道大出血8例(26.6％),反酸5例(16.6％),幽门梗阻2例(6.6％),胃溃疡穿孔1例(3.3％),十二指肠球部溃疡穿孔1例
Pediatric peptic ulcer is rare, due to the symptoms of occult non-typical incidence of the rule, so clinical diagnosis is difficult, now our hospital pediatric from 1980 to 1990 admitted 30 cases, the report is as follows. Clinical data First, the general information analysis The whole group of patients by X-ray barium examination in 23 cases, 7 cases diagnosed by fiberoscopy, of which 23 cases of duodenal ulcer (76.6%), gastric ulcer in 7 cases (23.4%), male 22 cases (73.3%) and 8 females (26.7%), the youngest cases were 23 days in 1 case (3.3%), 4 to 7 years old in 8 cases (26.6%) and 8 to 14 years old in 21 cases (70% Mostly school-age children. Second, the clinical features of the group of 30 cases, abdominal pain in 26 cases (86.6%), which complained of abdominal pain in 7 cases (26.9%), performance of umbilical pain in 19 cases (73.1%) vomiting in 14 cases (46.6% , Including hematemesis in 7 cases (23.3%), hematochezia in 23 cases (76.6%), including 15 cases of melena (50%), upper gastrointestinal bleeding in 8 cases (26.6%), acid reflux in 5 cases Obstruction in 2 cases (6.6%), gastric ulcer perforation in 1 case (3.3%), duodenal ulcer perforation in 1 case