Scott R B
Division of Pediatric Gastroenterology and Nutrition, Alberta Children's Hospital.
Can Fam Physician. 1994 Mar;40:539-42, 545-7.
Recurrent abdominal pain is a common presenting complaint among children. A thorough history and physical examination and limited laboratory investigation should enable a physician to make a positive diagnosis of "functional" recurrent abdominal pain in 90% to 95% of cases; an organic cause is identified in only 5% to 10%. The care and thoroughness of the history and physical examination establish the physician's credibility; explaining the clinical basis for the diagnosis and educating the child and parents on what is known about the condition reassures the parents.
复发性腹痛是儿童常见的就诊主诉。全面的病史采集、体格检查以及有限的实验室检查应能使医生在90%至95%的病例中对“功能性”复发性腹痛做出肯定诊断;仅5%至10%的病例能找到器质性病因。病史采集和体格检查的仔细程度建立起医生的可信度;解释诊断的临床依据并就该病症的已知情况对患儿及其家长进行教育能让家长安心。