CAJ | 학술논문

目的：探讨儿童消化性溃疡(PU)的临床特点，为诊断与鉴别诊断提供依据。方法：收治PU患儿172例，回顾性分析其临床资料。结果：男女比2.91：1。病程1 d～2周59.3%。临床表现有腹痛73.3%、恶心呕吐77.9%、呕血44.2%、便血55.8%、纳差61.6%、神萎或烦躁65.1%、腹部压痛60.5%。18.6%误诊，9.3%漏诊。十二指肠及胃溃疡各65.1%、29.1%，分别主要发生于9岁以上、6岁以下儿童。结论：儿童PU男性较多，病程多在1 d～2周，临床表现不典型，易误诊、漏诊，应注意鉴别。发病部位与年龄相关，十二指肠溃疡更多见。电子胃十二指肠镜是诊断儿童PU的重要方法。
목적：탐토인동소화성궤양(PU)적림상특점，위진단여감별진단제공의거。방법：수치PU환인172례，회고성분석기림상자료。결과：남녀비2.91：1。병정1 d～2주59.3%。림상표현유복통73.3%、악심구토77.9%、구혈44.2%、편혈55.8%、납차61.6%、신위혹번조65.1%、복부압통60.5%。18.6%오진，9.3%루진。십이지장급위궤양각65.1%、29.1%，분별주요발생우9세이상、6세이하인동。결론：인동PU남성교다，병정다재1 d～2주，림상표현불전형，역오진、루진，응주의감별。발병부위여년령상관，십이지장궤양경다견。전자위십이지장경시진단인동PU적중요방법。
Objective:To explore the clinical characteristics of peptic ulcer(PU) in children,and provide the evidence for the diagnosis and differential diagnosis.Methods:172 children patients with PU were selected.The clinical data were retrospectively analyzed.Results:The men and women ratio was 2.91:1.The course of disease was 1 days to 2 weeks in 59.3% patients.The clinical manifestations were 73.3% abdominal pain,77.9% nausea and vomiting,44.2% haematemesis,55.8% hematochezia,61.6% poor appetite,65.1% nerve malaise or irritability,60.5% abdominal tenderness.18.6% patients were misdiagnose,9.3% patients were missed diagnosis.The duodenum and gastric ulcer were respectively 65.1%,29.1%, respectively mainly occurred in more than 9 years old,less than 6 years age.Conclusion:The children with PU has more male,the course of disease is 1 days to 2 weeks,the clinical manifestations are atypical,it is easy to misdiagnosis and missed diagnosis,it should pay attention to identify.The location of the disease is related to age,and the duodenal ulcer is more common.Electronic stomach and duodenum mirror is an important method for the diagnosis of children with PU.