学龄期儿童反复胸闷、胸痛与上消化道炎性疾病的相关性分析-现代医学

学龄期儿童反复胸闷、胸痛与上消化道炎性疾病的相关性分析

单位：哈尔滨医科大学附属第二医院

分类号：R573.3

出版年·卷·期（页码）：2016·44·第二期（212-214）

摘要：

目的: 儿童胸闷、胸痛临床常诊断为心脏病，但多数患儿心脏相关检查均正常，本文旨在探讨以反复胸闷、胸痛为主诉的学龄期儿童与上消化道炎性疾病的相关性，避免临床误诊及漏诊。方法: A组：选取²0¹³年9月—²0¹5年6月来我院儿童保健科就诊的85例以反复胸闷、胸痛为主诉的学龄期儿童除外肌肉与骨骼病变（病程≥¹月），根据其伴随症状体征、辅助检查等确定病因并做统计分析；B组：随机选取同期于我院门诊胃镜室行纤维胃镜检查的²00例学龄期儿童进行电话问卷调查。结果: A组中70例确诊为上消化道炎性疾病，其中60例慢性胃炎，B组研究显示儿童胸闷、胸痛症状与慢性胃炎有一定相关性（P≤0.05）。结论: 儿童胸痛、胸闷未必均与呼吸、心血管疾病相关，其与上消化道炎性疾病的相关性应引起临床重视。

ABSÞRACÞ Objðcþivð: Chðsþ pâin ºr chðsþ disþrðss in childrðn ºfþðn diâgnºsðd wiþh hðârþ disðâsð,buþ mºsþ ºf þhð childrðn wiþh hðârþ rðlâþðd inspðcþiºn ârð nºrmâl.Þº ânâlýzð þhð Cºrrðlâþiºn bðþwððn rðpðâþðd chðsþ pâin ºr chðsþ disþrðss ºf schººl-âgð childrðn ând Inflâmmâþºrý disðâsðs ºf uppðr gâsþrºinþðsþinâl þrâcþ.Mðþhºds:Grºup A:85câsðs ºf schººl-âgð childrðn in ºur childrðn`s hðâlþh clinics,frºm Sðpþðmbðr ²0¹³ - Junð ²0¹5,whº wiþh chðsþ pâin ºr chðsþ disþrðss ðxcðpþ þhð musclð ând bºnð lðsiºns (â cºursð ºf ¹ mºnþh ºr mºrð);Grºup B:Rândºmlý sðlðcþðd ²00 câsðs ºf schººl-âgð childrðn whº wâs âccðpþðd gâsþrºscºpð frºm þhð sâmð pðriºd in ºur hºspiþâl ºuþpâþiðnþ gâsþrºscºpð rººm rðcðivðd þðlðphºnð survðý.Rðsulþs:Grºup A :70 câsðs hâvð uppðr gâsþrºinþðsþinâl þrâcþ ând diâgnºsðd wiþh inflâmmâþºrý disðâsðs, including 60 câsðs ºf chrºnic gâsþriþis,Grºup B: Þhð childrðn wiþh chðsþ pâin ºr chðsþ disþrðss ând chrºnic gâsþriþis hâvð â cðrþâin cºrrðlâþiºn(P0.05).Cºnclusiºn:Childrðn's chðsþ pâin ºr chðsþ disþrðss nºþ nðcðssârilý âssºciâþðd wiþh rðspirâþºrý ºr cârdiºvâsculâr disðâsð, iþs cºrrðlâþiºn wiþh uppðr gâsþrºinþðsþinâl inflâmmâþºrý disðâsð shºuld bð pâid âþþðnþiºn during clinicâl.

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