儿童幽门螺杆菌相关性消化道溃疡  

Childhood peptic ulcer associated with helicobacter pylori infection

作　　者：谭秋[1] 陈红兵[1] 侯建明[1] 

机构地区：[1]重庆三峡中心医院,重庆万州404000

出　　处：《国外医学（妇幼保健分册）》2005年第3期156-157,共2页Foreign Medical Sciences (Section of Maternal and Child Health)

摘　　要：儿童消化道溃疡在临床上并不少见,而幽门螺杆菌感染是儿童消化道溃疡发病的重要原因之一。小儿内镜技术现日趋成熟,不仅检出率高,同时可检查有无幽门螺杆菌感染,指导治疗。尿ELISA能对幽门螺杆菌感染进行快速诊断,阳性率及特异性高。临床治疗消化道溃疡的首选仍是抗幽门螺杆菌治疗,但由于小儿生理特点,在药物选用上应更加谨慎。现国内外较为推荐的方案是奥美拉唑+替硝唑+羟氨苄青霉素三联1周疗法。Childhood peptic ulcer is not uncommon in clinical practice. Helicobacter pylori(HP) infection is an important cause of the disease. With improvement of pediatric endoscopy technique, it has been used to determine presence or absence of HP infection to direct the treatment. Uro-Elisa has high positive rate and specificity in rapid diagnosis of HP infection. Anti-HP therapy should be thought firstly in treatment of peptic ulcer. Because of special physiological characteristics of children, choose of the drug should be more cautious. A triple therapy of omeprazole, tinidazole and amoxicillin for one week, is recommended in domestic and abroad for the disease.[

关 键 词：消化道溃疡 儿童 幽门螺杆菌感染 

分 类 号：R725.7[医药卫生—儿科]