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《Medical Journal of Air Force》 2011-02
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The Clinical and Endoscopic Features of Upper Alimentary Tract Ulcer Caused by Three Factors on Children

XU Hua,BI Shu-ying,ZHENG Chun-qian,LI Xiao-mei.Department of Pediatrics,Air Force General Hospital,Beijing 100142,China  
Objective To investigate clinical and endoscopic characteristics of upper alimentary tract ulcer caused by three kinds of causes on children,in order to offer a guide for its diagnosis and differential diagnosis and reasonable therapy.Methods Analysed clinical data of 35 cases with upper alimentary tract ulcer,and observed the endoscopic morphological characteristics by gastroscopy.25 patients among them were taken lesion mucosa pathological examination,all patients underwent Helicobacter pylori detection.Results The age of H.pylori-related ulcer were the oldest and the pain was mainly on the middle and upper abdominal,often accompanied with asphalt liked stool.Gastroscopy showed deep or shallow.Ulcer on duodenal bulb with the coating of white fur,yellow fur or blood scab.The age of abdominal anaphylactoid purpura followed.It mainly showed the entire abdominal or umbilical pain and the stool can be black,like anthrax or jam.Endoscopic examination revealed gastric and duodenal mucosal lesions were diffuse bleeding,dissipated and even ulcer,become more serious in the descending duodenum.The age of non-steroidal anti-inflammatory drugs induced ulcer were the youngest.They were infants and young children,mainly showed vomiting.Endoscopic examination revealed lesions in gastric antrum and the superficial ulcer surrounded by mucosal congestion and edema.Conclusion Clinical and endoscopic features are different on children with upper alimentary tract ulcers caused by three different causes.They can provide guide for the clinical diagnosis,differential diagnosis and therapy of children with upper alimentary tract ulcer.
【CateGory Index】: R725.7
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