【摘要】 采用胃食道钡剂造影，按5级分类法判断儿童食管返流（CER）病变程度及合并症的类型。检出儿童GER102例中，Ⅰ级22例，Ⅱ级41例，Ⅲ级34例，Ⅳ级5例，Ⅳ级以下占95％，提示儿童GER病情一般较轻；GER合并哮喘或反复呼吸道感染13例，胃窦炎或十二指肠炎42例，十二指肠溃疡及炎症7例，返流性食管炎4例及其他消化道疾病8例，提示儿童GER与哮喘有因果关系外，但与消化道疾病可能更密切相关。指出胃十二指肠炎症及溃疡可能是儿童GER及返流性食管炎的主要致病因素。更多还原

【Abstract】 Objective: To investigate the clinic feature andcomplications of gastroesophageal reflux(GER) in chilren. Methods: Classification in five grades according to barium meal esophagography.Results: There are 102 cases in all, 22 cases of grade I, 41 cases ofgrade II, 34 cases ofgrade III,and 5 cases of grade IV. The cases which under grade IV account for 95%. 13 cases of GER complicated with asthma and recurrent respiratony tract infection, 42 case with antralgastrits or duodenitis, 7cases with duodenal ulcus, 4 cases with refluent esophagitis and 8 cases with other digestive canal diseases. Conclusion: The results showed todisass of digestive canal, such asantral gastritis, duodenitisulcer, refluent esopagitis etc. The pathological changes of GER are slighter in children.更多还原