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題名 | 小兒上消化道內視鏡檢查﹣﹣110 例分析 |
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作者姓名(中文) | 黃碧蓮; 張文宇; 陳添享; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 27:1 民75.01-02 |
頁次 | 頁46-51 |
分類號 | 417.5411 |
關鍵詞 | 小兒; 內視鏡; 分析; 消化道; 檢查; |
語文 | 中文(Chinese) |
中文摘要 | 110名年齡介於51天到15歲的病例,接受118次上消化道內視鏡檢查。53名主訴腹痛的病例中,15名(28.3%)由內視鏡檢查確診斷;43名嘔血或瀝青便的病例,內視鏡檢查找到出血原因的有38名,佔88.4%;8名長期嘔吐或吞嚥困難病例中,3名內視鏡檢查得到診斷;3名缺鐵性貧血病例中,1名為慢性十二指腸潰瘍;門脈高壓的1例可見食道下端靜脈曲張;吞食異物及因慢性下痢做小腸切片者各有1例。110名受檢病例中的59名內視鏡檢查結果異常,佔53.6%,基中5名有2個或2個以上的病變。十二指腸潰瘍、胃潰瘍及胃炎是小兒上消化道化出血及慢性腹痛最常見原因。所有內視鏡檢查均在病人給予鎮靜藥物後,以Olympus GIF-P2或Olympus GIF-XP檢查,118次檢查僅1名女嬰發生短暫性發紺。小兒上消化道內視鏡檢查安全性高,是上消化道出血最有效的診斷方法,對小兒腹痛的診斷亦有幫忙。 |
英文摘要 | One hundred and ten children, aged from 51 days to 15 years, received 118 upper gastrointestinal endoscopic procedures between April 1982 to September 1985 at the Department of Pediatrics, Kaohsiung Medical College. All patients were under sedation. The panendoscopes used were the Olympus GIF-P2 and GIF-XP. The main indications were abdominal pain (53 cases), hematemesis and /or tarry stool (43 cases), vomiting and/or dysphagia (8 cases), iron deficiency anemia (3 cases), portal hypertension (1 case), foreign body ingestion (1 case), and chronic diarrhea (1 case). Of the 53 with abdominal pain, 15 (28.3%) had lesions identified by endoscopy. Of the 43 with gastrointestinal bleeding, 38 (88.4%) had bleeding sites verified endoscopically. Of the eight with vomiting and/or dysphagia, three nad abnormal endoscopic findings. One of the three patients with iron deficiency anemia had a duodenal ulcer. A small intestinal biopsy was obtained in a case presenting with chronic diarrhea and malnutrition. Duodenal and gastric ulcers, and gastritis were the most common causes of upper gastrointestinal bleeding and, organically, of chronic abdominal pain. Of 118 endoscopic examinations, one was complicated by transient cyanosis. This experience demonstrated that upper gastrointestinal endoscopy is a safe and effective diagnostic means of establishing the site of bleeding in the upper gastrointestinal tract and of evaluating patients with abdominal pain. |
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