小儿上消化道出血56例胃镜分析

目的 探讨小儿上消化道出血的病因。方法 对56例上消化道出血患儿进行电子胃镜检查．分析其结果。结果 发现病变者53例(94．6％)。以十二指肠球部溃疡最多见．有38例(67．9％)；其次为重度浅表性胃炎4例(7．1％)；其它依次为十二指肠球炎伴胃炎8例(14．3％)；食管炎2例(3．6％)和胃溃疡1例(1.8％)；检测幽门螺杆菌阳性32例(57．1％)。结论 小儿上消化道出血好发于学龄期儿童．以十二指肠球部溃疡所致出血最多见．且与HP感染密切相关。

Gastroscopic Findings of Upper Gastrointestinal Tract Hemorrhage in Children

Objective To study the etiology of upper gastrointestinal tract hemorrhage in children.Methods fifty-six children with upper gastrointestinal tract hemorrhage were examined by gastroscopy.Results Abnormal findings were noted in 94.6% of patients, with duodenal bulbar ulcer being the commonest disorder(67.9%).Other abnormalities included severe superficial gastritis(7.1%),duodenitis accompanied by gastritis(14.3%),esophagitis(3.6%) and gastric ulcer(1.8%).HP test was positive in 57.1% of patients.Conclusion Upper gastrointestinal tract hemorrhage occurs frequently in children of school-age. Duodenal bulbar ulcer is commonly observed and has a close correlation with HP infection.