Loening-Baucke Vera, Swidsinski Alexander
Division of General Pediatrics, University of Iowa, Iowa City, Iowa, USA.
J Pediatr. 2007 Dec;151(6):666-9. doi: 10.1016/j.jpeds.2007.05.006. Epub 2007 Jul 30.
To evaluate the causes of acute abdominal pain in a large academic pediatric primary care population.
The complete charts of 962 children, > or = 4 years old, who were seen for at least 1 health maintenance visit during a 6-month period, were reviewed retrospectively for complaints and cause of acute abdominal pain.
We found that 9% of the 962 children had a visit for acute abdominal pain, with significantly more girls (12%) than boys (5%) having this complaint. Acute and chronic constipation were the most frequent causes of acute abdominal pain, occurring in 48% of subjects. A surgical cause was present in 2% of subjects. The cause for the acute abdominal pain remained unknown in 19% of subjects. We did not find significant differences in diagnoses in the primary care clinics versus emergency department.
We found that constipation was the most common cause of acute abdominal pain in children.
评估大型学术性儿科初级保健人群中急性腹痛的病因。
回顾性分析962名4岁及以上儿童的完整病历，这些儿童在6个月内至少接受过1次健康维护检查，以了解急性腹痛的主诉和病因。
我们发现，962名儿童中有9%因急性腹痛就诊，主诉为此的女孩（12%）明显多于男孩（5%）。急慢性便秘是急性腹痛最常见的病因，48%的患儿为此病因。2%的患儿有外科病因。19%的患儿急性腹痛病因不明。我们未发现初级保健诊所和急诊科在诊断上有显著差异。
我们发现便秘是儿童急性腹痛最常见的病因。
