小儿消化性溃疡临床表现不典型,易误诊和漏诊。对有上消化道出血、腹痛、呕吐、纳差、消瘦、贫血原因不明、大便潜血试验阳性者应疑及本病而进一步检查。胃镜诊断阳性率比 X 线高,可首选采用。消化性溃疡与胃窦炎、十二指肠炎关系密切,及早诊治胃窦炎、十二指肠炎可减少消化性溃疡的发病率。使用铋制剂(得乐)或痢特灵等可杀灭幽门螺杆菌,从而可预防或减少消化性溃疡的复发。 Pediatric peptic ulcer clinical manifestations are not typical, easily misdiagnosed and missed diagnosis. On the upper gastrointestinal bleeding, abdominal pain, vomiting, anorexia, weight loss, anemia, unexplained, positive fecal occult blood test should be suspected and further examination of the disease. Gastroscope diagnostic positive rate higher than the X-ray can be preferred. Peptic ulcer and gastritis, duodenal inflammation are closely related to early diagnosis and treatment of antral gastritis, duodenitis can reduce the incidence of peptic ulcer. The use of bismuth (Dele) or furazolidone kill Helicobacter pylori, which can prevent or reduce the recurrence of peptic ulcer.