Khan S, Di Lorenzo C
Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, One Children's Place, Pittsburgh, PA 15213, USA.
Curr Gastroenterol Rep. 2001 Jun;3(3):248-56. doi: 10.1007/s11894-001-0029-0.
Chronic vomiting disorders with diverse causes are seen in children of all ages and present diagnostic and therapeutic challenges to pediatric gastroenterologists. Most patients are diagnosed by history, physical examination, and a basic work-up aimed at excluding obstructive and inflammatory causes. Intractable cases warrant further evaluation for clarification of the diagnosis. This review focuses on the pathophysiology of vomiting and four of the syndromes manifesting as chronic vomiting. It also includes a detailed exploration of the new tools available for evaluation of these syndromes.
各种病因导致的慢性呕吐疾病可见于各年龄段儿童，给儿科胃肠病学家带来了诊断和治疗方面的挑战。大多数患者通过病史、体格检查以及旨在排除梗阻性和炎症性病因的基本检查来确诊。难治性病例需要进一步评估以明确诊断。本综述重点关注呕吐的病理生理学以及表现为慢性呕吐的四种综合征。它还详细探讨了可用于评估这些综合征的新工具。
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