小儿下消化道出血123例报告

摘要

为了提高对小儿下消化道出血的诊治水平.对123例12岁以内下消化道出血患儿,按不同年龄分为五组,又按出血量的大小分为急性大出血和慢性间歇性出血两大类,从而找出不同年龄组及急慢性出血的常见原因.结果发现年龄越小病死率越高,不明原因的下消化道急性大出血也是致死的主要原因.对下消化道出血患儿详细地询问病史,按诊断程序全面进行检查,绝大多数病例可得到明确诊断.根据检查结果积极地进行治疗是减少病死率和并发症的主要环节.%To improve the diagnosis and treatment of the lower digestive tract hemorrhage in children,123 children with lower digestive tract bleeding were studieds.They were divided into five groups according to the age of children,and divided into acute massive hemorrhage and chronic intermittent bleeding according to the amount of blood loss.Results:The younger the child,the higher the mortality.Idiopathic acute massive bleeding of the lower digestive tract was the main cause of death.Conclusion:Alertness and careful examination on children with hemorrhage of lower digestive tract would reduce the mortality.