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目的探讨无痛胃镜在急性上消化道疾病中的检查效果、安全性,并对小儿急性上消化道疾病进行病因分析。方法对48例来本院就诊的急性上消化道疾病需行胃镜检查的患儿采用丙泊酚进行无痛胃镜检查,分析其病因。结果小儿急性上消化道疾病以腹痛、呕吐为主要症状,胃镜所见以胃溃疡及急性胃黏膜病变为主,消化道异物占12.5%。丙泊酚用量1.5～4.8 mg.kg-1,入睡时间20～50 s,检查时间1.8～4.1 min。胃镜检查过程中收缩压、舒张压均稍下降,血氧饱和度下降2例,心率有波动,呼吸变化不明显。结论在小儿急性上消化道疾病的诊断和治疗中,应用丙泊酚进行无痛胃镜检查安全有效。
Objective To investigate the effect and safety of painless gastroscope in acute upper gastrointestinal diseases and to analyze the etiology of acute upper gastrointestinal diseases in children. Methods Forty-eight children with acute upper gastrointestinal diseases undergoing gastroscopy were treated with propofol for painless gastroscopy and their causes were analyzed. Results Acute upper gastrointestinal diseases in children with abdominal pain, vomiting as the main symptom, gastroscopy seen mainly gastric ulcer and acute gastric mucosal lesions, gastrointestinal foreign body accounted for 12.5%. Propofol dosage 1.5 ~ 4.8 mg.kg-1, sleep time 20 ~ 50 s, check the time 1.8 ~ 4.1 min. Gastroscopy during systolic blood pressure, diastolic blood pressure decreased slightly, decreased blood oxygen saturation in 2 cases, heart rate fluctuations, respiratory changes were not obvious. Conclusion In the diagnosis and treatment of acute upper gastrointestinal diseases in children, it is safe and effective to use propofol for painless gastroscopy.