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上消化道出血为儿科常见急诊之一,我院自1989至1994年因本病住院45例中,男35例,女10例;最小3岁,3~6岁6例,~12岁16例,~14岁23例,以致大儿童为多,与儿童溃疡病好发年龄有关。出血前有明显诱因15例,其中饮食不当6例,学习紧张4例,服过激素1例,服解热镇痛药4例。临床表现分为:(1)无症状型25例,以突然上消化道出血入院。(2)不典型11例,疼痛无规律,无泛酸嗳气,而伴纳差,脐周隐痛。(3)典型症状9例,有规律性饥饿性疼痛,或夜间痛或伴暖气。入院时全部病例均有
Upper gastrointestinal bleeding as one of the common pediatric emergency, our hospital from 1989 to 1994 hospitalized 45 cases of this disease, 35 males and 10 females; the youngest 3 years old, 6 cases of 3 to 6 years, ~ 12 years old in 16 cases , ~ 14 years old in 23 cases, resulting in as many children, and children with canker disease age. There were 15 cases of obvious predisposition before bleeding, including 6 cases of improper diet, 4 cases of learning stress, 1 case of taking hormone and 4 cases of antipyretic and analgesic drugs. Clinical manifestations are divided into: (1) Asymptomatic 25 cases, to suddenly admitted upper gastrointestinal bleeding. (2) atypical in 11 cases, irregular pain, no pantothenic acid, and with anorexia, umbilical pain. (3) 9 cases of typical symptoms, regular hunger pain, or night pain or with heating. All cases were admitted to hospital