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[目的]分析小儿消化性溃疡(PU)的临床表现、并发症、内镜改变和与幽门螺杆菌(Hp)感染的关系。[方法]对106例PU患儿的资料进行回顾性分析。[结果]小儿PU临床症状具有不典型性,且个体差异较大,并发症以上消化道出血为主,幽门梗阻多发生于婴幼儿期。内镜检查十二指肠溃疡发病率较胃溃疡高,且发病与Hp感染关系密切。[结论]小儿PU症状不典型,对临床上凡有原因不明的反复发作性腹痛、长期呕吐、黑便、呕血、慢性贫血患儿均应作胃镜和Hp等相关检查,以免误诊或漏诊。
[Objective] To analyze the clinical manifestations, complications, endoscopic changes and the relationship with Helicobacter pylori (Hp) infection in children with peptic ulcer (PU). [Methods] The data of 106 cases of children with PU were analyzed retrospectively. [Results] The clinical manifestations of PU in children are not typical, and the individual differences between the larger, the main complication of upper gastrointestinal bleeding, pyloric obstruction occurred in infants and young children. Endoscopic examination of duodenal ulcer incidence is higher than gastric ulcer, and the incidence of Hp infection are closely related. [Conclusion] The symptoms of pediatric PU are not typical. All patients with recurrent abdominal pain of unknown cause, long-term vomiting, melena, hematemesis, and chronic anemia should be examined by gastroscope and Hp in order to avoid misdiagnosis or missed diagnosis.