新生儿和儿童胃肠道出血的原因。

Causes of gastrointestinal hemorrhage in neonates and children.

作者信息

Thompson E C, Brown M F, Bowen E C, Smith L M, vander Griten D

机构信息

Department of Surgery, Louisiana State University Medical Center at Shreveport, USA.

出版信息

South Med J. 1996 Apr;89(4):370-4. doi: 10.1097/00007611-199604000-00003.

DOI:10.1097/00007611-199604000-00003

PMID:8614874

Abstract

The causes of gastrointestinal hemorrhage in children were detailed in 1964 by Spencer. We investigated the causes of gastrointestinal hemorrhage in 165 children seen at our institution over a 13-year period. The most common causes of gastrointestinal hemorrhage in the hospitalized patients were necrotizing enterocolitis (44%), anal fissures (23%), and guaiac-positive stools of unknown cause (16%). The mortality rate was 5.4%. Necrotizing enterocolitis was the most common cause of death. Only 16 patients required surgery. Gastrointestinal hemorrhage is an infrequent cause of mortality and morbidity in hospitalized pediatric patients.

摘要

1964年，斯宾塞详细阐述了儿童胃肠道出血的病因。我们调查了13年间在我们机构就诊的165名儿童胃肠道出血的病因。住院患者胃肠道出血最常见的病因是坏死性小肠结肠炎（44%）、肛裂（23%）和原因不明的隐血阳性粪便（16%）。死亡率为5.4%。坏死性小肠结肠炎是最常见的死亡原因。只有16名患者需要手术。胃肠道出血在住院儿科患者中是导致死亡和发病的罕见原因。