Loening-Baucke Vera, Swidsinski Alexander
Division of General Pediatrics University of Iowa, Iowa City, Iowa 52242, USA.
Clin Pediatr (Phila). 2008 Sep;47(7):664-9. doi: 10.1177/0009922808315825. Epub 2008 Apr 29.
Aerophagia is a rare disorder in children. The diagnosis is often delayed, especially when it occurs concomitantly with constipation. The aim of this report is to increase awareness about aerophagia. This study describes 2 girls and 7 boys, 2 to 10.4 years of age, with functional constipation and gaseous abdominal distention. The abdomen was visibly distended, nontender, and tympanitic in all. Documenting less distention on awakening helped to make the diagnosis. Air swallowing, belching, and flatulence were infrequently reported. The rectal examination often revealed a dilated rectal ampulla filled with gas or stool and gas. The abdominal X-ray showed gaseous distention of the colon in all and of the stomach and small bowel in 8 children. Treatment consisted of educating parents and children about air sucking and swallowing, encouraging the children to stop the excessive air swallowing, and suggesting to them not to use drinking straws and not to drink carbonated beverages. The aerophagia resolved in all in 2 to 20 months (mean=8 months).
吞气症在儿童中是一种罕见的病症。诊断往往会延迟，尤其是当它与便秘同时发生时。本报告的目的是提高对吞气症的认识。这项研究描述了2名女孩和7名男孩，年龄在2至10.4岁之间，患有功能性便秘和气态腹胀。所有人的腹部均明显膨隆、无压痛且呈鼓音。记录到醒来时腹胀减轻有助于做出诊断。很少有空气吞咽、嗳气和肠胃气胀的报告。直肠检查常发现直肠壶腹扩张，充满气体或粪便与气体。腹部X线检查显示所有人的结肠均有气体扩张，8名儿童的胃和小肠也有气体扩张。治疗包括对家长和孩子进行关于空气吸入和吞咽的教育，鼓励孩子停止过度的空气吞咽，并建议他们不要使用吸管和饮用碳酸饮料。所有患儿的吞气症在2至20个月内（平均8个月）均得到缓解。
