儿童不明原因便血55例临床分析  

Clinical analysis of 55 cases of agnogenic hematochezia in children

作　　者：王宝香[1] 梅红[1] 张寅[2] 王歆琼[2] 苏林[2] 许春娣[2] 

机构地区：[1]武汉市妇女儿童医疗保健中心湖北,武汉430016 [2]上海交通大学医学院附属瑞金医院儿科,上海200025

出　　处：《临床儿科杂志》2012年第10期916-919,共4页Journal of Clinical Pediatrics

摘　　要：目的探讨儿童不明原因便血的病因。方法回顾性分析55例不明原因便血患儿的临床资料,并根据病情选择性进行胃镜、结肠镜、双气囊小肠镜、胶囊内镜、腹部放射性核素99mTc扫描及小肠多层螺旋CT血管成像(CTA)检查,最终明确诊断。结果 55例患儿便血的病因依次为小肠肠管发育畸形、肠血管性疾病、炎症性肠病、嗜酸细胞性胃肠炎、十二指肠溃疡、肠结核、升结肠息肉等。结论儿童便血的病因复杂多样,应根据病史、便血色泽及性状、伴随症状等来选择相应的辅助检查,从而明确诊断。Objective To explore the etiology tbr agnogenic hematochezia in children. Methods Chmcal data or 55 pedia- tric cases of agnogenic hematochezia were retrospectively analyzed. According to patients condition, the diagnostic modalities such as gastroscope, colonoscope, double-ballon enteroscopy, capsule endoscopies, 99mzc scintigraophy and spiral CT angiogra- phy of small intestine were selected to make a clear diagnosis. Results Our data showed that the causes of 55 cases of agnogenic hematochezia in rank order were, the small intestinal canal malformations, intestinal vascular disease, inflammatory bowel disease （IBD）, eosinophilic gastroenteritis, duodenal ulcer, intestinal tuberculosis, ascending colon polyps, etc. Conclusions The causes of agnogenic hematochezia in children are complicated. Appropriate diagnostic modalities should be chosen to make a definite diagnosis according to medical history, color and character of bloody stool, and accompanying symptoms, etc.

关 键 词：便血 病因 儿童 

分 类 号：R725.7[医药卫生—儿科]