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[复发性腹痛。对68名儿童的前瞻性研究]

[Recurrent abdominal pain. A prospective study of 68 children].

作者信息

Oymar K, Fluge G, Rosendahl K

机构信息

Barneklinikken, Haukeland Sykehus, Bergen.

出版信息

Tidsskr Nor Laegeforen. 1993 Aug 30;113(20):2566-8.

PMID:8236176
Abstract

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.

摘要

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。

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