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目的:探讨儿童腹痛的常见病因,为临床诊断及治疗提供参考。方法:选取337例腹痛患儿进行详细病史询问、体格检查及必要的辅助检查,分析腹痛发病原因。结果:337例腹痛患儿中内科疾病310例,占92%,外科疾病22例,占6.53%;腹内疾病277例,占80.20%,腹外疾病55例,占16.53%;器质性疾病298例,占88.43%,功能性腹痛34例,占10.09%。结论:腹痛病因由多种因素引起,涉及多个系统,临床上需要结合详细病史、体格检查及恰当的辅助检查以明确病因,及时治疗。
Objective: To explore the common causes of abdominal pain in children and provide reference for clinical diagnosis and treatment. Methods: 337 cases of abdominal pain were selected for detailed medical history, physical examination and necessary auxiliary examination, analysis of the causes of abdominal pain. Results: 337 cases of abdominal pain in children with 310 cases of medical diseases, accounting for 92%, 22 cases of surgical diseases, accounting for 6.53%; 277 cases of intra-abdominal disease, accounting for 80.20%, 55 cases of extra-abdominal disease, accounting for 16.53%; organic disease 298 cases, accounting for 88.43%, 34 cases of functional abdominal pain, accounting for 10.09%. Conclusion: The cause of abdominal pain is caused by a variety of factors and involves multiple systems. Clinicians need to combine detailed medical history, physical examination and appropriate auxiliary examinations to clarify the cause and timely treatment.