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目的分析不同年龄组小儿消化道出血的临床特点及病因。方法对2007年12月～2010年3月我院小儿内科住院的78例消化道出血患儿临床资料进行回顾性分析。结果婴儿期患儿主要表现为上消化道出血,主要病因是咽下综合征、应激性溃疡、晚发性维生素K1因子缺乏;幼儿期及学龄前期患儿主要表现为下消化道出血,其中以结肠直肠息肉出血最常见,其次胃溃疡、再次食管炎、直肠结肠炎;学龄期患儿以上消化道出血为主,主要病因是十二指肠球部溃疡出血、腹型过敏性紫癜。结论为快速明确小儿消化道出血病因,可根据不同年龄组常见病因重点检查。
Objective To analyze the clinical features and causes of gastrointestinal bleeding in children of different age groups. Methods A retrospective analysis was performed on the clinical data of 78 cases of children with gastrointestinal bleeding hospitalized from December 2007 to March 2010 in our hospital. Results Infants with infantile hemorrhage mainly manifested as upper gastrointestinal bleeding, the main etiology was swallowing syndrome, stress ulcer, lack of late onset vitamin K1 factor; early childhood and preschool children were mainly manifested as lower gastrointestinal bleeding, which The most common colorectal polyp bleeding, followed by gastric ulcer, re-esophagitis, rectal colitis; school-age children above gastrointestinal bleeding, the main cause is duodenal ulcer bleeding, abdominal anaphylactoid purpura. Conclusions To quickly determine the cause of gastrointestinal bleeding in children, according to different age groups common etiology check.