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目的探讨小儿异位胃黏膜症合并急腹症的临床特点。方法回顾分析了2000-12—2005-12中国医科大学第二临床学院收治的55例经病理证实存在异位胃黏膜的急腹症患儿,对其临床资料进行分类汇总和分析。结果男44例,女11例;年龄3个月至13岁,平均4·5岁。临床诊断下消化道出血31例,急性肠套叠13例,急性肠梗阻5例,急性腹膜炎6例;手术切除肠管标本经病理检查证实均有异位胃黏膜。其中Meckel憩室40例,肠重复畸形11例,肠壁正常4例。结论异位胃黏膜可能是小儿急腹症的病因之一;急腹症患儿ECT检查阴性也应开腹探查,以免遗漏异位胃黏膜。

Clinical feature of acute abdomen with ectopic gastric mucosa in children

??AbstractObjectiveIn order to learn more about the ectopic gastric mucosa in children.MethodsFifty??five cases who were diagnosed as ectopic gastric mucosa by pathology were analyzed retrospectively,and the clinical datas were classified and analysed.ResultsForty??four cases were boys and 11 cases were girls,their ages ranging from 3 months to 13 years,the average age being 4??5 years.The final diagnosis was that 40 cases were Meckel's diverticulum and 11cases were duplication of intestine.ConclusionStrong acid secretion and ulceration are probably the etiology of the ectopic gastric mucosa; ectopic gastric mucosa can cause hemorrhage of lower disgestive tract??acute intestinal obstruction and intussusception;the children with acute abdomen even though the result of ECT is negative should be operated.