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目的分析总结小儿消化性溃疡的临床特点。方法对经胃镜检查确诊为消化性溃疡的39例患儿的临床资料进行回顾性分析。结果(1)男孩多见,男∶女为3.9∶1;(2)合并消化道出血79.5%,其中以消化道出血为首发症状者19例;(3)节律性腹痛不明显;(4)内镜下表现以单发为主,溃疡浅、小,苔膜薄,边缘光整,周围黏膜有充血、水肿、糜烂。结论小儿消化性溃疡存在较多,不同于成人的特点,易误诊,内镜检查可极大地提高阳性检出率,值得推广应用。
Objective To analyze and summarize the clinical characteristics of children with peptic ulcer. Methods The clinical data of 39 children diagnosed as peptic ulcer by gastroscopy were analyzed retrospectively. Results: (1) The boy was more common, with a ratio of 3.9: 1 for men and women. (2) 79.5% of patients had gastrointestinal bleeding, of which 19 were gastrointestinal bleeding as the first symptom. (3) Endoscopic performance of single hair-based, ulcer shallow, small, thin coating film, the edge of the whole body around the mucosa congestion, edema, erosion. Conclusion There are many peptic ulcer in children. Different from the characteristics of adults, it is easy to be misdiagnosed. Endoscopy can greatly increase the positive detection rate, which is worth popularizing and applying.