纤维胃镜在小儿上消化道出血诊治中的应用  

The application of gastroscopy in children with upper gastrointestinal bleeding

作　　者：黎小秀[1] 邹明艳[1] 张雪宇[1] 黄立文[1] 

机构地区：[1]东莞市妇幼保健院儿科,广东东莞523000

出　　处：《临床和实验医学杂志》2012年第4期271-272,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨纤维胃镜在小儿上消化道出血诊治中的应用价值。方法采用日本产OLYMPUS GIF-XP20型纤维胃镜检查对2007年12月至2011年5月收治的102例上消化道出血患儿行胃镜检查及幽门螺杆菌(Hp)定性检查。结果上消化道出血病因中以消化性溃疡为主(其中胃溃疡20例,十二指肠球部溃疡39例);其次是急性胃黏膜病变。24 h内行胃镜检查者定位诊断率100%;24～48 h内检查者定位诊断率为90.6%;超过48 h以上检查者诊断率为85.5%。Hp阳性60例,阳性率58.8%。本组102例上消化道出血患儿,成功插镜率100%。结论小儿上消化道出血多由于消化性溃疡所致,与Hp感染相关。早期纤维胃镜可明确出血病因,简单易行,安全可靠,是小儿上消化道出血诊断的首选方法。Objective To study the clinical significance of gastroscopy in children with upper gastrointestinal bleeding.Methods One hundred and two childish cases of upper gastrointestinal bleeding during December 2007 to May 2011 were treated with Japanese made OLYMPUS GIF-XP20 gastroscopy,and they were concurrently examined for Helicobacter pylori（Hp）.Results Peptic ulcer was the main etiological cause for upper gastrointestinal bleeding（including 20 cases of gastric ulcer and 39 cases of duodenal ulcer）,followed by acute gastric mucosal lesions.The diagnostic rate of gastroscopy by experts within 24 h was 100%,it was 90.6% within 24~48 h,and the diagnostic rate over 48 h was 85.5%.Hp-positive infection was seen in 60 cases with a positive rate of 58.8%.Among 102 cases of upper gastrointestinal bleeding in children of this group,the successful rate of insertion of gastroscopy was 100%.Conclusion As more children with upper gastrointestinal bleeding caused by peptic ulcer associated with Hp infection,early gastroscopy can confirm the cause of bleeding,it is simple,safe and reliable,and it is the preferred method for diagnosis of upper gastrointestinal bleeding in children.

关 键 词：小儿 上消化道出血 纤维胃镜 病因 

分 类 号：R725.7[医药卫生—儿科]