【摘要】 目的　探讨小儿上消化道出血的病因。方法　对 5 6例上消化道出血患儿进行电子胃镜检查 ,分析其结果。结果　发现病变者 5 3例 (94 .6 % )。以十二指肠球部溃疡最多见 ,有 38例 (6 7.9% ) ;其次为重度浅表性胃炎 4例(7.1% ) ;其它依次为十二指肠球炎伴胃炎 8例 (14 .3% ) ;食管炎 2例 (3.6 % )和胃溃疡 1例 (1.8% ) ;检测幽门螺杆菌阳性 32例 (5 7.1% )。结论　小儿上消化道出血好发于学龄期儿童 ,以十二指肠球部溃疡所致出血最多见 ,且与HP感染密切相关更多还原

【Abstract】 Objective To study the etiology of upper gastrointestinal tract hemorrhage in children.Methods fifty-six children with upper gastrointestinal tract hemorrhage were examined by gastroscopy.Results Abnormal findings were noted in 94.6% of patients, with duodenal bulbar ulcer being the commonest disorder(67.9%).Other abnormalities included severe superficial gastritis(7.1%),duodenitis accompanied by gastritis(14.3%),esophagitis(3.6%) and gastric ulcer(1.8%).HP test was positive in 57.1% of patients.Conclusion Upper gastrointestinal tract hemorrhage occurs frequently in children of school-age. Duodenal bulbar ulcer is commonly observed and has a close correlation with HP infection.更多还原