昆明市某三甲医院 424 例儿童上消化道疾病谱临床分析.

Objective To investigate the clinical features of the spectrum of upper gastrointestinal diseases in children and to provide assistance in the prevention, diagnosis and treatment of upper gastrointestinal diseases in children. Methods Clinical data of 424 children aged 2 months to 14 years who were hospitalised for gastroscopy in the paediatrics department of the First People's Hospital of Yunnan Province from January 2018 to June 2023 were collected, and retrospective analyses were performed for the children's clinical presentation, gastroscopy results, and HP infections. Results The symptoms of vomiting and diarrhea in infants were significantly different from those in preschool and school age groups (P < 0.05). The positive rate of lesions under gastroscopy was 96.46%. The main diseases found were non-atrophic gastritis (222 cases), bile reflux gastritis (42 cases), non-atrophic gastritis with erosion (30 cases), duodenitis (25 cases), reflux esophagitis (15 cases) and others (75 cases). Helicobacter pylori (HP) was detected in 300 of the 424 cases, and 105 cases were HP positive, with a detection rate of 35.00%. Conclusion Abdominal pain was the main symptom of upper gastrointestinal diseases in school-age and preschool children. Vomiting and diarrhea were the main symptoms of upper gastrointestinal diseases in infants. There was no gender difference in HP infection, but there was a difference in age. [ABSTRACT FROM AUTHOR]