【摘要】 目的 :探讨小儿胃镜检查的实用价值及其临床意义。方法 :回顾性分析 6 7例 5～ 14岁因消化道出血、腹痛入院患儿的胃镜检查及临床资料。结果 :胃镜检出十二指肠溃疡 42例 ,胃溃疡 4例 ,浅表性胃炎 17例及食道炎、胃 食道结合部炎、重度食道静脉曲张、贲门失弛缓各 1例。 2 6例十二指肠溃疡患儿幽门螺旋杆菌阳性检出率为 73.1% ,5 1例患儿乙肝病毒感染率达 74.5 %。结论 :对原因不明的上消化道出血及腹痛患儿胃镜检查具有重要意义。幽门螺旋杆菌可能是消化性溃疡的生物致病因素 ,消化性溃疡和胃炎与乙肝病毒的相关性应予重视更多还原

【Abstract】 Objective: To evaluate the applicative value and clinical significance of gastroscopic examination for pedia-patient. Methods: The results of gastroscopic examination and clinical data of 67 patients aged 5 14 years, admitted with chief complains of alimentary tract hemorrhage and abdominal pain, were analyzed retrospectively. Results: 42 cases of duodenal ulcer, 4 cases of gastric ulcer,17 cases of superficial gastritis,and 1 case of either esophagitis, gastroesophagitis, severe varicose veins of the esophagus, or cardiac achalasia were diagnosed with gastroscopy. 73.1% of 26 cases with duodenal ulcer showed a positive test for the helicobacter pylori (Hp) urease. The infectious rate of hepatitis B virus (HBV) was 74.5% in 521 cases.Conclusion: Gastroscopic examination is the most important diagnostic procedure for pedia-patients with alimentary tract hemorrhage and abdominal pain. Hp may be a biological etiologic factor of peptic ulcer,and there is a close relationship between the infection of HBV and peptic ulcer.更多还原