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本文分析了经纤维胃镜诊断的小儿慢性胃炎198例。认为不明原因的反复腹痛、纳差、消瘦及上腹部压痛是胃炎的主要临床表现。56例胃粘膜活检行幽门弯曲菌尿素酶试验(CPUT)及Gimenz染色找幽门螺旋菌(HP),阳性率分别为81.6%与57.1%,说明了HP与小儿胃炎密切相关。可能是慢性胃炎的病原菌。小儿胃窦炎、十二指肠炎和十二指肠溃疡三者之间有一定的关系,HP可能就是它们潜在联系因素。最后对胃炎的诊治进行了讨论。
This article analyzes 198 cases of pediatric chronic gastritis diagnosed by fiber endoscopy. Repeated abdominal pain, anorexia, weight loss and upper abdominal tenderness, which are considered unexplained, are the main clinical manifestations of gastritis. 56 cases of gastric mucosal biopsy were H. pylori urease test (CPUT) and Gimenz stain to find Helicobacter pylori (HP), the positive rates were 81.6% and 57.1%, indicating that HP and pediatric gastritis are closely related. Chronic gastritis may be the pathogen. Pediatric antral gastritis, duodenal inflammation and duodenal ulcer have a certain relationship between the three, HP may be their potential contact factors. Finally, the diagnosis and treatment of gastritis were discussed.