【摘要】 目的分析婴儿牛奶蛋白过敏(cow’s milk protein allergy,CMPA)所致血便的临床特点,总结诊治经验,指导合理喂养。方法回顾2016年5月至2018年10月我科确诊CMA患儿的临床资料,并总结分析。结果全部患儿病程2天至3个月之间,临床表现为便血(伴或不伴腹泻)、呕吐、喂养困难或拒食、哭闹、便秘、皮肤湿疹。49例予深度水解蛋白奶粉(氨基酸奶粉)替代饮食,并辅以益生菌等治疗后血便消失,其他临床症状缓解。结论血便可以是婴儿牛奶蛋白过敏的主要甚至是唯一表现,易误诊,深度水解蛋白奶粉(氨基酸奶粉)的使用可以确立诊断并缓解症状。更多还原

【Abstract】 Objective Analysis babies cow’s milk protein allergy(CMPA) cause bloody stools clinical features,and summarize the clinical diagnosis and treatment experience.Method Review and summarize 2016.5 to 2018.10 clinical data in children diagnosed in our department.Results Course of disease in the 2 d～3 m,the clinical manifestations of blood in the stool(with/without diarrhea),vomiting,feeding difficulties or antifeedant,crying,constipation,eczema;39 cases of children given the extensively hydrolyzed protein formula feeding,and application of probiotics,such as adjuvant therapy,leaving the children with bloody diarrhea stops, and other clinical symptoms.Conclusions Bloody stools are sometimes the primary manifestation of infant milk protein allergies and are easily misdiagnosed, and the use of deep hydrolyzed protein milk powder/amino acid milk powder can establish a diagnosis and relieve symptoms.更多还原