Graham D Y, Klish W J, Ferry G D, Sabel J S
South Med J. 1978 May;71(5):558-60. doi: 10.1097/00007611-197805000-00022.
Fiberoptic gastrointestinal endoscopy was performed on 52 patients between the ages of 2 months and 16 years. The procedures were safely and easily done with premedications consisting of meperidine, promethazine, and chlorpromazine, and atropine, with diazepam given at the time of the procedure. Fiberoptic endoscopy was particularly helpful in localizing the site of upper gastrointestinal hemorrhage, in retrieving foreign objects, and in removing colonic polyps. In contrast, endoscopy added little to the clinical history and roentgenographic studies in children with recurrent abdominal pain or vomiting, in whom we believe fiberoptic endoscopy is not indicated unless the symptoms or history appear inconsistent with the diagnosis of functional bowel disease.
对52例年龄在2个月至16岁之间的患者进行了纤维光学胃肠内窥镜检查。通过使用由哌替啶、异丙嗪、氯丙嗪和阿托品组成的术前用药，并在检查时给予地西泮，这些操作安全且轻松地完成。纤维光学内窥镜检查在定位上消化道出血部位、取出异物和切除结肠息肉方面特别有帮助。相比之下，对于复发性腹痛或呕吐的儿童，内窥镜检查对临床病史和X线检查的补充作用不大，我们认为，除非症状或病史与功能性肠病的诊断不一致，否则不建议对这类儿童进行纤维光学内窥镜检查。
