论文部分内容阅读
目的探讨儿童消化性溃疡的临床特征及治疗。方法回顾性分析儿科确诊的38例儿童消化性溃疡的临床特征和治疗方法。结果十二指肠溃疡(DU)占76.3%(29/38),胃溃疡(GU)占18.4%(7/38),复合性溃占5.2%(2/38);7～14岁占78.9%(30/38);临床特征为反复发作的腹痛、黑便、呕血、面色苍白、反复呕吐、贫血等;采用克拉霉素+阿莫西林+奥美拉唑三联疗法为主的综合治疗,溃疡面愈合良好。Hp检出率为65.1%(46/56)。结论儿童消化性溃疡并不少见,临床表现多不典型,好发于学龄儿童,以DU多见,且与Hp感染密切相关,胃镜检出率高,应及时行胃镜检查确诊。新三联疗法治疗消化性溃疡效果好。
Objective To investigate the clinical features and treatment of peptic ulcer in children. Methods The clinical features and treatment of peptic ulcer in 38 pediatric patients were retrospectively analyzed. Results Duodenal ulcer (DU) accounted for 76.3% (29/38), gastric ulcer (GU) accounted for 18.4% (7/38), complex ulceration accounted for 5.2% (2/38), and 7-14 years old accounted for 78.9% % (30/38); clinical features of recurrent abdominal pain, melena, hematemesis, pale, repeated vomiting, anemia; using clarithromycin + amoxicillin + omeprazole triple therapy based comprehensive treatment, Ulcer surface healing well. The detection rate of Hp was 65.1% (46/56). Conclusions Children with peptic ulcer are not uncommon, and their clinical manifestations are atypical. They occur frequently in school-aged children and are more common in DU. They are closely related to Hp infection. Gastroscopy has a high detection rate and should be promptly diagnosed by gastroscopy. New triple therapy for peptic ulcer effect.