Aiyathurai J E, Dissanayake A S
Ann Acad Med Singap. 1981 Oct;10(4):415-8.
Since the turn of the century, recurrent abdominal pain (RAP) has been a diagnostic dilemma. From the fifties, the work of Apley led to a shift in the thinking i.e., away from organic to psychosomatic causes for the pain. During the past decade, however, better gastroenterological studies have led to a return to a search for organic causes. Psychologically, this may prove salutory to the child with RAP. Based on the history, glucose tolerance and histopathological studies reported elsewhere by the authors, it is suggested that the pain in these children is due to intestinal angina. The angina may be consequent to the master switch of life operating as a glucose homeostatic mechanism in mild viral infections. The role of intravenous glucose in such situations is discussed.
自世纪之交以来，复发性腹痛（RAP）一直是一个诊断难题。从五十年代起，阿普利的研究使人们的思维发生了转变，即从认为疼痛是由器质性原因转向心身原因。然而，在过去十年中，更好的胃肠病学研究又使人们重新开始寻找器质性原因。从心理角度看，这可能对患有复发性腹痛的儿童有益。根据作者在其他地方报道的病史、葡萄糖耐量和组织病理学研究，提示这些儿童的疼痛是由于肠绞痛。这种绞痛可能是由于在轻度病毒感染中作为葡萄糖稳态机制的生命主开关所导致的。本文讨论了静脉注射葡萄糖在这种情况下的作用。
