Mittal S K, Kalra K K, Aggarwal V
Department of Pediatrics, Maulana Azad Medical College, New Delhi.
Indian J Pediatr. 1994 Nov-Dec;61(6):651-4. doi: 10.1007/BF02751973.
Upper GI endoscopies were done in 236 children (upto 12 years of age) presenting with history of hemetemesis. Varices were the commonest lesions (in 39.41%) followed by esophagitis (23.73%). Gastritis, gastric ulcer, duodenal ulcer and oesophageal ulcers were identified in 7.20%, 1.27%, 0.42% and 0.42% cases respectively. Cause of bleeding could not be ascertained in 27.54% cases. No significant premedication or procedure related complications were observed. Upper GI endoscopy is thus a safe and useful mode of investigation in cases of hemetemesis in children.
对236名有呕血病史的儿童（年龄至12岁）进行了上消化道内镜检查。静脉曲张是最常见的病变（占39.41%），其次是食管炎（占23.73%）。胃炎、胃溃疡、十二指肠溃疡和食管溃疡分别在7.20%、1.27%、0.42%和0.42%的病例中被发现。27.54%的病例无法确定出血原因。未观察到明显的术前用药或与操作相关的并发症。因此，上消化道内镜检查是儿童呕血病例安全且有用的检查方式。
