【摘要】 目的通过研究儿童吞气症的临床表现、特点,达到早期识别、诊断的目的。避免过多的辅助检查及严重并发症的出现。方法自2009～2011年间,我院儿科门诊选取10例临床怀疑吞气症的儿童,进行连续6～9个月的临床观察并收集、总结资料。结果儿童吞气症的主要临床表现为:腹胀,吞气动作,反复嗳气,肛门排气增加,腹痛;体查腹部膨隆;直肠指检示:直肠壶腹积气扩张。腹部平片:可见积气扩张的肠袢。儿童吞气症的治疗包括药物、宣传教育、心理行为及生物反馈治疗等相结合。在给予正确治疗后,所有吞气症儿童在2～12个月后症状消失。结论儿童吞气症是一种少见的胃肠功能障碍,本文总结了儿童吞气症的临床特点、诊断及治疗,有重要的临床指导意义。更多还原

【Abstract】 Objective This study investigated the early recognition and diagnosis of pathologic childhood aerophagia to avoid unnecessary diagnostic approaches and serious complications.Methods Between 2009 and 2011,data from 10 consecutive patients with childhood aerophagia were reviewed.Results The chief complaints were abdominal distention,recurrent abdominal pain.The clinical features are common to all patients who have abdominal distention which increased progressively during the day,increased flatus during sleep,increased bowel sound on auscultation and an air-distended stomach with increased gas in the small and large bowel by radiography.Conclusion The common manifestations of childhood aerophagia may be its essential diagnostic criteria,and esophageal air sign may be useful for the early recognition.更多还原