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[一名9岁女孩慢性复发性腹痛的病因——腹型偏头痛病例报告]

[Abdominal migraine as a cause of chronic recurrent abdominal pain in a 9-years-old girl--case report].

作者信息

Kwiecień Jarosław, Piasecki Leszek, Kasner Jacek, Karczewska Krystyna

机构信息

I Katedra Pediatrii, Klinika Gastroenterologii, Alergologii i Zaburzeń Rozwoju Wieku Dziecigcego, Zabrzu.

出版信息

Pol Merkur Lekarski. 2005 Aug;19(110):191-2.

Abstract

Abdominal migraine is a rarely recognized functional intestinal disorder, manifesting as recurrent paroxysmal abdominal pain of neurogenic origin. The authors describe the 9-years old girl referred to the hospital because of chronic paroxysmal abdominal pain. She did not improve after medication used commonly in functional abdominal disorders (drotaverine, mebeverine, trimebutine). On the ground of various investigations organic causes of abdominal pain were excluded. Carefully completed anamnesis, as well as precise description of the clinical picture of abdominal pain attacks, has lead to the diagnosis of abdominal migraine. According to advice of neurologist the treatment with amitriptyline was introduced. Thereafter a significant improvement was observed. Abdominal migraine has to be taken in to account when diagnosing chronic abdominal pain in children.

摘要

腹型偏头痛是一种很少被认识到的功能性肠道疾病,表现为反复发作的神经源性阵发性腹痛。作者描述了一名9岁女孩因慢性阵发性腹痛被转诊至医院。在使用功能性腹部疾病常用药物(屈他维林、美贝维林、曲美布汀)治疗后,她的病情并未改善。基于各种检查排除了腹痛的器质性原因。仔细完善的病史采集以及对腹痛发作临床表现的精确描述,最终诊断为腹型偏头痛。根据神经科医生的建议,开始使用阿米替林进行治疗。此后观察到病情有显著改善。在诊断儿童慢性腹痛时,必须考虑到腹型偏头痛。

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