Oymar K, Fluge G, Rosendahl K
Barneklinikken, Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 1993 Aug 30;113(20):2566-8.
We followed 68 children with recurrent abdominal pain in a prospective study including a standard investigation programme and abdominal ultrasound. We found an organic disease which explained the pain in eight patients (12%). Most children with recurrent abdominal pain can be dealt with by a general practitioner. In our opinion, further investigation, including abdominal ultrasound should only be carried out in the event of specific suspicion of organic disease. At follow-up 16-34 months later, 55 children (85%) had improved or were free of pain. We discuss the differential diagnoses and propose a plan of investigation for these children.
我们对68名复发性腹痛儿童进行了一项前瞻性研究，包括标准调查程序和腹部超声检查。我们发现8名患者（12%）存在可解释疼痛的器质性疾病。大多数复发性腹痛儿童可由全科医生处理。我们认为，只有在高度怀疑存在器质性疾病时，才应进行包括腹部超声在内的进一步检查。在16 - 34个月后的随访中，55名儿童（85%）病情改善或不再疼痛。我们讨论了鉴别诊断，并为这些儿童提出了调查计划。
