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小儿消化性溃疡特点及早期诊断(附47例分析)
Features and Early Diagnosis of Peptic Ulcer in Children (An Analysis of 47 Cases)
【摘要】 报告小儿消化性溃疡47例。该病近年有逐渐增多的趋势。早期症状模糊,仅20%有典型的饥饿疼或夜间疼,部分为脐周的疼痛;有的仅表现为贫血。并发症发生率高达87.2%,主要为消化道出血。症状不典型,儿童对病情叙说不清,医生对该病的认识模糊是早期误诊率高的原因。对早期诊断提出了建议,讨论了有关问题。
【Abstract】 In this paper 47 cases of children peptic ulcer are reported. There is a tendency of gradually increasing of this disease in recent years. The symptoms of the disease at its early stage were indistinct. Only 20% of these patients showed typical symptoms, such as hunger pain and night pain. Some patients only manifested anemia. The complications in these series were as high as 87.2%, mostly were peptic hemorrhage. Since the symptoms of this disease are not typical, children can not de- scribe the illness clearly doctors are not familial with this disease, so the incidence of misdiagnosis is high. A proposal for early diagnosis is presented, and some relevant problems are discussed.
【Key words】 peptic ulcer/diagnosis; peptic ulcer hemorrhage/diagnosis; peptic ulcer/complications; child; adolescence; case report;
- 【文献出处】 江西医学院学报 ,Acta Academiae Medicinae Jiangxi , 编辑部邮箱 ,1987年04期
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