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目的:分析小儿慢性胃炎与消化性溃疡的临床表现及胃镜检查应用。方法:临床疑似消化性溃疡者行胃镜检查以确诊。结果:48例行胃镜检查者中,消化性溃疡28例,男22例,女6例,其中胃窦部溃疡1例,十二指肠球部溃疡27例。慢性胃炎20例,男12例,女8例,临床诊断与胃镜检出符合率58％。因为小儿慢性胃炎与消化性溃疡的临床表现较为复杂,症状又极为相似,易混淆,除较大年长儿可明确诉规律性疼痛以及并发上消化道出血外,其余不典型者难确诊。结论:小儿消化性溃疡好发于学龄期,以十二指肠为多见,胃检在儿科应用有必要性,以便积极治疗,防止复发。
Objective: To analyze the clinical manifestations of chronic gastritis and peptic ulcer in children and the application of endoscopy. Methods: Clinical suspicion of peptic ulcer were diagnosed by gastroscopy. Results: 48 cases of gastroscopy, peptic ulcer in 28 cases, 22 males and 6 females, including gastric ulcer in 1 case, duodenal ulcer in 27 cases. Chronic gastritis in 20 cases, 12 males and 8 females, clinical diagnosis and endoscopy in line with the rate of 58%. Because children with chronic gastritis and peptic ulcer clinical manifestations are more complex, the symptoms are very similar and easily confused, in addition to older children can be clear about regular pain and concurrent upper gastrointestinal bleeding, the other atypical are difficult to diagnose. Conclusion: Pediatric peptic ulcer occurs predominantly in school age and is more common in the duodenum. Gastric examination is necessary for pediatric use in order to actively treat and prevent recurrence.