论文部分内容阅读
再发性腹痛指发生在3岁或3岁以上儿童的一种反复发作、病程>3个月,发作次数>3次的症状。分为功能性和器质性,器质性RAP是由各种病因所致的腹痛;功能性RAP指疾病的发作不能从组织结构及生化方面变化解释,但又客观存在。腹痛产生的结构基础包括受体、传导纤维与三级传导神经元;目前接受的内脏疼痛的调控机制是“阀门”学说。此外,功能性腹痛与遗传、环境、内脏高敏感有关。在腹痛的诊断程序中首先要根据病史、体格检查和必要的实验室检查,排除器质性疾病,但又要避免过多的不必要的检查。
Recurrent abdominal pain refers to a recurrence in children aged 3 years and over, duration> 3 months, the number of episodes> 3 times. Divided into functional and organic, organic RAP is caused by a variety of causes of abdominal pain; functional RAP refers to the onset of the disease can not be explained from the organizational structure and biochemical changes, but there are objective. The structural basis of abdominal pain includes receptors, conductive fibers and tertiary conductive neurons; the mechanism of visceral pain currently accepted is the “valve” theory. In addition, functional abdominal pain and genetic, environmental, visceral hypersensitivity. In the diagnosis of abdominal pain, the medical history, physical examination and necessary laboratory tests should first be ruled out to exclude organic diseases, but too much unnecessary examination should be avoided.