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近3年来我科共收治小儿上消化道出血54例,其中男41例,女13例;年龄3～12岁,其中学龄儿童47例(87％)。自发病至入院时间最短1天,最长4个月。发病后48小时内入院40例,以急性发病入院占大多数。患儿均有解黑色或暗红色血便,其中成形便42例,糊状便10例,暗红色稀水便2例;呕吐或呕血20例,轻度上腹部疼痛10例,头晕15例,昏厥2例,上腹部轻度压痛13例,失血性休克1例。平时无任何症状,突然便血呕血入院33例。54例中除2例出血原因不明外,其余依次为十二指肠
In the past three years, our department has received a total of 54 cases of upper gastrointestinal bleeding in children, including 41 males and 13 females; aged 3 to 12 years old, of which 47 cases of school-age children (87%). From the onset of admission to the shortest 1 day, up to 4 months. Forty cases were admitted to hospital within 48 hours after onset, accounting for the majority of patients admitted to hospital with acute onset. There were 42 children with constipation, 10 with pasty, 2 with dark red water, 20 with vomiting or hematemesis, 10 with mild upper abdominal pain, 15 with dizziness, 15 with fainting 2 cases, mild tenderness in upper abdomen 13 cases, and hemorrhagic shock in 1 case. Usually no symptoms, suddenly hematochezia blood in hospital 33 cases. 54 cases in addition to two cases of bleeding is unknown, the rest followed by the duodenum