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目的探讨小儿反复性腹痛的病因及其诊断。方法结合病史对 140例患儿经消化道内镜、B超、胃肠造影、血尿便常规、大便隐血及虫卵、脑电图和颅脑CT等检查结果进行回顾分析。结果小儿反复性腹痛主要为功能性 ;器质性疾患不多 ,仅占 8.2 % ;而腹部器质性疾病中以胃、十二指肠疾患居多 ,约占 67.0 %。结论小儿腹痛病因复杂 ,病史、病情、病程和合理选择特殊检查对诊断具有重要价值
Objective To investigate the etiology and diagnosis of recurrent abdominal pain in children. Methods 140 cases of children with gastrointestinal endoscopy, B ultrasound, gastrointestinal imaging, conventional hematuria, fecal occult blood and egg, EEG and brain CT examination were retrospectively analyzed. Results The recurrent abdominal pain in children was mainly functional. There were not many organic diseases, accounting for only 8.2%. In abdominal organic diseases, gastric and duodenal diseases accounted for 67.0%. Conclusion The causes of pediatric abdominal pain are complex and the history, condition, course of disease and reasonable choice of special examination are of great value to diagnosis