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目的研究儿童慢性腹痛无痛胃镜检查的价值及安全性。方法 134例以腹痛为主诉的门诊及住院患儿作为研究对象,均进行无痛胃镜检查,观察检查结果。结果本组134例患者胃镜病变检出异常129例,阳性率96.3%,分别为慢性浅表性胃炎及十二指肠炎87例(67.4%)、上消化道溃疡14例(10.9%)、其他病变28例(21.7%),本组患儿术中合并咽后壁黏膜擦伤2例,无一例并发黏膜下血肿、穿孔和出血等严重胃镜操作并发症发生,亦无一例出现低氧血症、窒息、吸入性肺炎、心律不齐等麻醉并发症发生。所有患儿均未感到有插管不适,且在胃镜检查结束后均无痛苦记忆。患儿在麻醉后恢复过程中呼吸循环稳定,呼吸、心率、血压、血氧饱和度恢复到检查前水平,原消化道症状没有加重。结论在严格掌握无痛胃镜检查适应证的情况下,无痛胃镜检查在小儿慢性腹痛的诊断中具有较大的价值,在儿童慢性腹痛中的应用是安全、有效的,适宜在儿科领域中推广普及使用。
Objective To study the value and safety of painless gastroscopy in children with chronic abdominal pain. Methods A total of 134 outpatients and hospitalized children with abdominal pain as the chief complaint were enrolled in this study. All patients underwent painless gastroscopy to observe the test results. Results In this group of 134 patients, 129 cases were detected abnormal gastroscopy, the positive rate was 96.3%, which were chronic superficial gastritis and 87 cases of duodenitis (67.4%), upper gastrointestinal ulcer in 14 cases (10.9%) and other There were 28 cases (21.7%) with pathological changes. There were 2 cases of mucosal abrasions in the posterior pharyngeal wall in this group. No cases of submucosal hematoma, complications of severe gastroscopy such as perforation and hemorrhage occurred, and no cases of hypoxemia , Asphyxia, aspiration pneumonia, arrhythmia and other anesthesia complications. All patients did not feel intubation discomfort, and no painful memory after endoscopy. Respiratory cycle in children with recovery during anesthesia stable, breathing, heart rate, blood pressure, oxygen saturation returned to the level before examination, the original gastrointestinal symptoms did not aggravate. Conclusion In the strict grasp of indications of painless gastroscopy, painless gastroscopy in children with chronic abdominal pain has great value in the diagnosis of chronic abdominal pain in children is safe and effective, suitable for promotion in the pediatric field Universal use.