小儿下消化道出血临床较常见,病因复杂。1987年以来我院应用纤维结肠镜对51例下消化道出血患儿进行了检查及治疗,现报告如下。 临床资料 一、对象51例患儿均来自我院门诊及部分住院患儿,男32例,女19例。年龄<1岁者2例,-3岁7例,-6岁15例,≥6岁27例,年龄最小9个月,最大12岁。 二、临床表现无痛性反复便血29例,腹痛伴便血18例,腹痛伴反复粘液脓血便4例。发病1周内检查者23例.1-2周16例,>2周12例。 三、术前准备与检查方法检查前1天进流质或无渣饮食,服番泻叶(5-10g)以导泻,检查当日晨禁食,温生理盐水反复灌肠,直至清洁为止,术前予 Pediatric lower gastrointestinal bleeding is more common, complex causes. Since 1987, our hospital application of fiber colonoscopy in 51 cases of children with lower gastrointestinal bleeding were examined and treated, are as follows. Clinical data First, the object 51 patients were from our hospital outpatient and some hospitalized children, 32 males and 19 females. 2 cases were aged <1 year, 7 cases were -3 years old, 15 cases were -6 years old, 27 cases were ≥6 years old, the youngest was 9 months and the oldest was 12 years old. Second, the clinical manifestations of recurrent painless recurrent blood in 29 cases, abdominal pain with blood in 18 cases, abdominal pain with repeated mucus pus and blood in 4 cases. The incidence of examination within 1 week in 23 cases .1-2 weeks in 16 cases,> 2 weeks in 12 cases. Third, preoperative preparation and inspection methods 1 day before the examination into the liquid or non-residue diet, serving senna (5-10g) to catharsis, check the morning fasting, warm saline repeatedly enema until clean, preoperative Give