四川医学
四川醫學
사천의학
Sichuan Medical Journal
2015年
8期
1087-1089
,共3页
过敏性直肠结肠炎%婴儿
過敏性直腸結腸炎%嬰兒
과민성직장결장염%영인
allergic proctocolitis%infant
目的 探讨婴儿过敏性直肠结肠炎的临床特点以早期诊断,提高诊治水平. 方法 回顾性分析2011年12月至2014年12月我院儿科诊治的27例过敏性直肠结肠炎患儿的临床资料. 结果 过敏性直肠结肠炎主要见于6个月以下的婴儿,特别是1~3个月,共15例(55. 6%),临床表现为腹泻,部分见血便18例(66. 7%),包括粘液血便和鲜血便.实验室检查患儿均检测了食物特异性IgG抗体,阳性率前三位为牛奶24例( 88. 9%) ,蛋清/蛋黄12例( 44. 4%)和大豆5例(18. 5%). 所有患儿均给予饮食回避. 母乳喂养患儿其母亲在哺乳期间禁食过敏原检测阳性的食物,人工喂养患儿则给予特殊配方奶粉. 结论 婴儿过敏性直肠结肠炎临床表现以腹泻及血便为主,其诊断需仔细询问病史包括家族中有无特应性病史,同时需认真体检,除外导致血便的其他疾病. 治疗的主要方法是饮食回避.
目的 探討嬰兒過敏性直腸結腸炎的臨床特點以早期診斷,提高診治水平. 方法 迴顧性分析2011年12月至2014年12月我院兒科診治的27例過敏性直腸結腸炎患兒的臨床資料. 結果 過敏性直腸結腸炎主要見于6箇月以下的嬰兒,特彆是1~3箇月,共15例(55. 6%),臨床錶現為腹瀉,部分見血便18例(66. 7%),包括粘液血便和鮮血便.實驗室檢查患兒均檢測瞭食物特異性IgG抗體,暘性率前三位為牛奶24例( 88. 9%) ,蛋清/蛋黃12例( 44. 4%)和大豆5例(18. 5%). 所有患兒均給予飲食迴避. 母乳餵養患兒其母親在哺乳期間禁食過敏原檢測暘性的食物,人工餵養患兒則給予特殊配方奶粉. 結論 嬰兒過敏性直腸結腸炎臨床錶現以腹瀉及血便為主,其診斷需仔細詢問病史包括傢族中有無特應性病史,同時需認真體檢,除外導緻血便的其他疾病. 治療的主要方法是飲食迴避.
목적 탐토영인과민성직장결장염적림상특점이조기진단,제고진치수평. 방법 회고성분석2011년12월지2014년12월아원인과진치적27례과민성직장결장염환인적림상자료. 결과 과민성직장결장염주요견우6개월이하적영인,특별시1~3개월,공15례(55. 6%),림상표현위복사,부분견혈편18례(66. 7%),포괄점액혈편화선혈편.실험실검사환인균검측료식물특이성IgG항체,양성솔전삼위위우내24례( 88. 9%) ,단청/단황12례( 44. 4%)화대두5례(18. 5%). 소유환인균급여음식회피. 모유위양환인기모친재포유기간금식과민원검측양성적식물,인공위양환인칙급여특수배방내분. 결론 영인과민성직장결장염림상표현이복사급혈편위주,기진단수자세순문병사포괄가족중유무특응성병사,동시수인진체검,제외도치혈편적기타질병. 치료적주요방법시음식회피.
Objective To explore the features of infantile allergic proctocolitis in order to improve early diagnosis and treatment. Methods A retrospective analysis of clinical data from 27 infants with allergic proctocolitis who were hospitalized in pediatric department of Dujiangyan people's Hospital between December 2011 and December 2014. Results Allergic proctocolitis mainly occurred in infants who were under 6 months, and in totally 27 infants, 15 cases (55. 6%) were yonger than 3 months;The main clinical manifestation was diarrhoea, and 18 cases (66. 7%) had bloody stools with or without mucus;All of 27 infants did detection for specific IgG antibody to food, and the most common allergen were milk (24/27, 88. 9%), yolk (12/27, 44. 4%) and soybean (5/27, 18. 5%). All patients were administered by avoiding allergic food. Mother breastfeeding childrenwere required to avoid their baby's allergen foods and artificial feeding children were feed with special formula. Conclusion Diar-rhea and bloody stool are main clinical characteristics of Infantile allergic proctocolitis. After excluding the other diseases causing bloody stool, the diagnosis of it requires careful history inquiring including family history and careful physical examination. Avoiding allergic food is a effective method in diagnosis and treatment.
