小儿腹痛的诊断(国外英文资料).docVIP

小儿腹痛的诊断 The diagnosis of pediatric abdominal pain Pediatric abdominal pain should be combined with the history and physical examination, to conduct a comprehensive analysis, supplemented by laboratory tests or other inspection when necessary, to make early and correct diagnosis as soon as possible. (1) history Children of different ages are suffering from abdominal pain, and their diseases vary. If intestinal convulsion occurs more than three months, it is often due to inappropriate feeding or excessive air swallowing. Intussusception, inlaid hernia, and intestinal infections are more common in children with two years of age. Acute appendicitis and intestinal parasitic diseases are relatively rare. Gastrointestinal tract infection, intestinal parasitic disease, mesenteric lymphadenitis, biliary ascariasis, lobar pneumonia, abdomen epilepsy, allergic purpura, etc to the older son to see. The rapid and slow onset of abdominal pain is often important for differential diagnosis. Onset or paroxysmal increase sharply is often WaiKeXing diseases, such as acute appendicitis, strangulation obstruction, gastrointestinal perforation, intussusception, and incarcerated inguinal hernia. Continue the pain come on slowly and often for internal medicine disease, such as intestinal roundworm disease, gastric and duodenal ulcer, enteritis, viral hepatitis, etc., but should pay attention to the etiology of chronic abdominal pain and acute abdominal pain sometimes can be the same, this is because the disease caused by change in the different stages of its properties, such as canker original chronic abdominal pain, when the merge perforation is the acute abdominal pain. It is important to note the possibility of acute abdominal pain in chronic abdominal pain, such as abdominal pain or sudden pain. Abdominal pain can be a painful, persistent pain or mild pain. If there is an obstructive disease in the form of paroxysmal pain or cramping, the abdominal pain relief, such as stomach, intest