Hugot J P, Cézard J P
Service de gastroentérologie et nutrition pédiatriques Hôpital Robert-Debré, Paris.
Rev Prat. 1998 Feb 15;48(4):382-8.
Diarrhea is a very common symptom in childhood. Most cases are acute, in relation with infectious agents. They resolve in few days, the main complication being acute dehydration. At the opposite, chronic diarrhea may be complicated by denutrition and failure to thrive. In most cases, the symptom is related to a chronic nonspecific diarrhea of childhood, without any nutritional consequence and the family will be reassured. Sometimes, clinical data suggest an organic etiology. In this case, additional investigations will be performed, taking into account the semiology of the diarrhea and the relative frequency of the different etiologies.
腹泻是儿童时期非常常见的症状。大多数病例为急性,与感染因素有关。它们在几天内即可缓解,主要并发症是急性脱水。相反,慢性腹泻可能并发营养不良和发育不良。在大多数情况下,该症状与儿童慢性非特异性腹泻有关,没有任何营养方面的后果,家属会因此放心。有时,临床资料提示有器质性病因。在这种情况下,将根据腹泻的症状学和不同病因的相对发生率进行进一步检查。