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目的 系统观察分析儿童痫样放电与慢性胃炎的相关性及其意义。方法 用纤维内窥镜技术 ,对 16例 8～ 12岁 ,病程 2～ 3年 ,以反复出现腹痛为主诉 ,腹部体检及常规神经系统检查正常 ,脑电图有典型癫痫波形拟诊为腹型癫痫患儿进行观察 ,患儿未给抗痫药物治疗而联合采用铋剂和抗生素口服 ,每月用药 7天 ,连用 1年后停药并复查脑电图。结果 坚持按期、规则服药的 12例 ,多于服药 3～ 4个月腹痛显著减轻至停止发作 ;治疗1年结束时复查脑电图 1～ 2次均正常 ,随访 2年余腹痛未再复发。中断治疗的 4例 ,腹痛复现 ,脑电图仍呈痫性放电 ,其中 2例经再次足量、按期服药后 ,复查结果症状及痫性放电消失。结论 儿童痫样放电与慢性胃炎两者有密切关系。
Objective To observe the relationship between epileptiform discharge and chronic gastritis in children and its significance. Methods Fiber endoscopy was used in 16 patients aged 8 to 12 years with a duration of 2 to 3 years. The main complaint was recurrent abdominal pain. The abdominal physical examination and routine neurological examination were normal. EEG typical epileptic waveform was diagnosed as abdominal Children with epilepsy were observed, the children did not give anti-epileptic drug treatment combined with bismuth and antibiotics orally, monthly medication for 7 days, once a year after discontinuation and review of EEG. The results insisted on regular and regular medication in 12 cases, more than 3 to 4 months medication significantly reduced to stop the onset of abdominal pain; 1 year end of the review EEG 1 or 2 times were normal, followed up for more than 2 years no recurrence of abdominal pain. Interrupted treatment in 4 cases, recurrent abdominal pain, electroencephalogram still showed epileptiform discharge, of which 2 cases after enough, regular medication, review the symptoms and epileptic discharge disappear. Conclusion There is a close relationship between epileptiform discharge and chronic gastritis in children.