小儿迁延性、慢性腹泻病83例临床分析

目的 分析小儿迁延性、慢性腹泻病的病因、临床特点及治疗现状.方法 对2002年10月-2007年10月住院并诊断为迁延性、慢性腹泻病83例患儿的临床资料进行回顾性分析.结果 主要病因包括食物过敏29例(85.3%),乳糖不耐受61例(73.5%),免疫功能低下55例(66.3%),感染35例(42.2%)等.长时间腹泻患儿多伴有营养不良,不同程度的离子紊乱、微量元素缺乏、肠道菌群失调等,部分患儿合并其他脏器受累(如心肌、肝脏等).针对病因治疗,同时辅以支持疗法和对症治疗,取得了良好的效果.结论 迁延性、慢性腹泻的病因并不都是感染;其临床表现多样,并发症多;经不同途径联合治疗,可从各个不同环节阻断病情发展,减少并发症,从而缩短病程,提高治愈率.[临床儿科杂志,2009,27(10):930-934]

Clinical analysis of 83 children with persistent or chronic diarrhea

Objective To analyze the etiology, clinical features and treatment of persistent or chronic diarrhea disease in children. Methods A total of 83 children with persistent or chronic diarrhea were reviewed in pediatric gastroenterological wards during October 2002 to October 2007. Results Main causes of diarrhea included food allergy in 29 cases (85.3%), lactose intolerance in 61 cases (73.5%), immunocompromise in 55 cases (66.3%) and infection in 35 cases ( 42.2% ) . Children with a long-term diarrhea were us...