Abstract：Objective: To analyze the clinical characteristics and gastroscopic changes of children with upper gastrointestinal hemorrhage. Methods: The clinical data of 95 children with upper gastrointestinal hemorrhage were collected by retrospective study. According to the age of the children, they were divided into three groups: the < 1-year-old group (13 cases), the 1-2-year-old group (9 cases), the 3-5-year-old group (22 cases), the 6-13-year-old group (51 cases). The symptoms, gastroscopic characteristics and the predisposing factors of the children in each group were analyzed, and the data were included in the statistical analysis. Results: Black stool and hematemesis were found in all groups, and shock, dizziness, weakness and abdominal pain were found in all the children aged 1-13 years. The incidence of black stool and hematemesis in the 1-2-year-old group was significantly higher than that in the < 1-year-old group and the 3-5-year-old group (P<0.05), but there was no significant difference compared with the 6-13-year-old group (P>0.05); there was no significant difference in other clinical manifestations in each group (P>0.05). Gastroscopy showed that the main gastroscopic characteristics of children with upper gastrointestinal hemorrhage were cardia mucosa tearing syndrome, esophageal stenosis, erosive or hemorrhagic gastritis, duodenal bulitis, gastroesophageal varices, duodenal bulbar ulcer, erosive or reflux esophagitis. The incidence of erosive or reflux esophagitis in the 1-2-year-old group was significantly higher than that in the 6-13-year-old group (P<0.05), but there was no significant difference in the characteristics of gastroscopy in the other groups (P>0.05). The incidence of children's misuse of chemicals in the 1-2-year-old group was significantly higher than that in the other groups (P<0.05); however, there was no significant difference in other predisposing factors (P>0.05). There was no significant difference in the total effective rate (P>0.05). Conclusion: Black stool and hematemesis are the first symptoms in children under 14 years old with upper gastrointestinal hemorrhage in Hunan Province. Gastroscopy is characterized by hemorrhagic or erosive gastritis. However, most of the children have no obvious inducement, but there are high cure rate inendoscopic and drug treatment.
陶佳, 何志刚. 湖南地区上消化道出血患儿临床特征及胃镜下改变分析[J]. 河北医学, 2020, 26(5): 850-854.
TAO Jia, HE Zhigang. Analysis of the Clinical Characteristics and Gastroscopic Changes of Children with Upper Gastrointestinal Hemorrhage in Hunan Province. HeBei Med, 2020, 26(5): 850-854.
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