34例婴幼儿非感染性腹泻临床分析  

Clinical characteristics of 34 infants with non-infectious diarrhea

作　　者：王君[1] 郭亚楠[1] 贾红兵[1] 车宁[1] 李鹏[1] 胡景伟[1] 

机构地区：[1]中日友好医院儿科,北京100029

出　　处：《中日友好医院学报》2015年第5期270-273,共4页Journal of China-Japan Friendship Hospital

基　　金：国家科技支撑计划(2012BAI03B02)

摘　　要：目的:总结婴幼儿非感染性腹泻的病因和临床特点。方法:分析34例非感染性腹泻婴幼儿的便常规+p H、尿半乳糖测定、乳糖耐量试验、食物回避试验和激发试验等检测结果 ,总结其临床特点。结果 :患儿平均年龄140±56d,26例(76.5%)发病年龄<6个月;21例(61.8%)喂养方式为母乳喂养;32例(94.1%)年龄别体重Z评分(WAZ)高于同年龄体重均数减2个标准差;腹泻持续时间平均48±10d,23例(67.6%)的病程>2周。腹泻伴腹胀5例、伴肠鸣10例、伴吐奶3例、伴湿疹8例。诊断乳糖不耐受19例,食物过敏5例,乳糖不耐受合并食物过敏4例,其他原因6例。结论:母乳喂养的6个月内婴幼儿出现腹泻,病程超过2周,生长发育不受影响,多为乳糖不耐受和食物过敏等非感染因素所致。Objective：To analyze the clinical characteristics and causes of 34 infants with non-infectious diarrhea.Methods：The clinical characteristics and the results of stool routine,stool pH,urine galactose measurement,lactose tolerance test,food avoidance test,food challenge test were investigated in 34 infants with noninfectious diarrhea.Results：The average age was 140±56 days,and 26 cases （76.5%）were younger than 6 months.Twenty-one cases （61.8%）were breast feeding.Thirty-two cases （94.1%）had normal body weight（weight for age Z,WAZ）〉x-2SD.The average diarrhea duration was 48＋10 days.Among all patients,5 cases presented with abdominal distension,10 cases with borborygmus,3 cases with spit milk,and 8 cases with eczema.Lactose intolerance,food allergy,the combination of lactose intolerance with food allergy were found in 19 cases,5 cases and 4 cases,respectively.Conclusion：Lactose intolerance and food allergy are major cause for noninfectious diarrhea in infants.

关 键 词：腹泻 婴幼儿 非感染 乳糖不耐受 食物过敏 

分 类 号：R725.7[医药卫生—儿科]