Rastogi A, Malhotra V, Uppal B, Aggarwal V, Kalra K K, Mittal S K
Maulana Azad Medical College, New Delhi, India.
Trop Gastroenterol. 1999 Jan-Mar;20(1):45-9.
We studied the causes and presentations of chronic diarrhoea in post-weaned children.
Forty seven children (6 months to 12 years) with diarrhoea of more than 2 weeks duration were recruited and subjected to detailed clinical examination and investigations.
Primarily on the basis of history, clinical examination and duodenal biopsy, children could be classified into 5 groups namely tropical enteropathy (46.8%), irritable bowel syndrome (10.6%), giardiasis (14.8%), celiac disease (6.8%) and non specific diarrhoea (21.8%). Children with tropical enteropathy improved with broad spectrum antimicrobial therapy, those with irritable bowel syndrome and non specific chronic diarrhoea with dietary interventions while children with celiac disease required definite withdrawal of gluten from diet.
我们研究了断奶后儿童慢性腹泻的病因及表现。
招募了47名（6个月至12岁）腹泻持续超过2周的儿童，并对其进行详细的临床检查和调查。
主要根据病史、临床检查和十二指肠活检，儿童可分为5组，即热带肠病（46.8%）、肠易激综合征（10.6%）、贾第虫病（14.8%）、乳糜泻（6.8%）和非特异性腹泻（21.8%）。热带肠病患儿经广谱抗菌治疗后病情改善，肠易激综合征和非特异性慢性腹泻患儿通过饮食干预改善，而乳糜泻患儿需要从饮食中明确去除麸质。
