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1826年Siebold首次报告1例2个月的早产婴儿患胃、十二指肠溃疡,当时认为是一种罕见疾病。Sultz在16年内调查了10万儿童,发病率:1946~1953年为0.9%,1954~1961年为3.6%,有显著增加。作者报告了兵库儿童医院1971~1979年间的44例小儿胃、十二指肠溃疡,并结合文献复习进行了讨论。检查对象及诊断方法:在诉有腹部不适的患儿中作胃肠钡餐造影,可以见到胃及十二指肠有龛影,或十二指肠球部变形,有的虽无龛影发现,但疤痕收缩变形却很严重。经X线检查发现有溃疡征象的共41例,另3例是胃肠穿孔经急诊手术证实。溃疡发生的部位:44例中胃溃疡5例,十二指肠
Siebold first reported in 1826 a 2-month-old premature infant suffering from gastric and duodenal ulcers, was considered a rare disease. Sultz investigated 100,000 children over a 16-year period, with incidence rates of 0.9% in 1946-1953 and 3.6% in 1954-1961, a significant increase. The authors report 44 children with gastric and duodenal ulcer in Hyogo Children’s Hospital from 1971 to 1979 and discuss the literature review. Check the object and diagnosis: complaints of abdominal discomfort in children with gastrointestinal barium meal angiography, you can see the stomach and duodenal niche shadow, or duodenal bulb deformation, and some although no niche shadow found , But the scar contraction and deformation is very serious. A total of 41 cases of ulcer signs were found by X-ray examination. The other 3 cases were confirmed by emergency operation of gastrointestinal perforation. The site of ulcer: 44 cases of gastric ulcer in 5 cases, duodenum