慢性腹泻病病因分析与相关诊疗.docVIP

慢性腹泻病病因分析与相关诊疗 　　[摘要]目的 探讨慢性腹泻病的诊断与鉴别诊断，慢性腹泻病的病因分析与相关诊疗方法。 方法 以本院2008年2月～2013年3月接诊收治的108例慢性腹泻的儿童患者为研究对象。对患者的病例资料进行详细回顾性分析，并进行总结。 结果 在108例慢性腹泻患者中，婴幼儿多见，占56.48%（61/108），其中细菌感染、免疫缺陷及过敏属于常见病因。患者中痊愈53例，占49.07%，好转45例，占41.67%，未愈9例，占8.33%，死亡1例，占0.93%。结论 慢性腹泻中婴幼儿为多发年龄，病因复杂，细菌感染、免疫缺陷、乳糖不耐受等为常见原因，临床应该借助相应的辅助检查，明确诊断，针对性治疗，多能够取得良好治疗效果。 　　[关键词]腹泻；病因分析；诊疗 　　[中图分类号] R574 [文献标识码] B [文章编号] 2095-0616（2015）17-209-04 　　Etiological analysis and correlative study on diagnosis and treatment of chronic diarrhea 　　FAN Cheng 　　Beiliu City Peopes Hospital， Beiliu 537400， China 　　[Abstract] Objective To study the diagnosis and differential diagnosis of chronic diarrhea， to analyze the etiology， the diagnostic and therapeutic method of chronic diarrhea. Methods 108 child patients with chronic diarrhea who were received， diagnosed and treated in our hospital from February 2008 to March 2013 were selected as research objects. To detailedly retrospective analyze the data of patients and to summarize the situation. Results Of the 108 child patients with chronic diarrhea， there were 56.48%（61/108） infant with the common etiology of bacterial infection， immunodeficiency， and allergy. Of all the patients， 53 cases were cured of 49.07%， 45 cases were improvement of 41.67%， 9 cases were uncured of 8.33%， 1 cases was died of 0.93%. Conclusion Chronic diarrhea， which has multiply occurred in infant with complex etiology and common etiology of bacterial infection， immunodeficiency， lactose intolerance and so on， could obtain well treatment effect through clinical corresponding accessory examination， definite diagnosis， targeted treatment. 　　[Key words] Diarrhea； Etiological analysis； Diagnosis and treatment 　　慢性腹泻的临床定义，我们与国外有一定分歧，在我国，将病程超过两个月的腹泻称为慢性腹泻，国外则是指病程在两周以上的腹泻[1]。临床中慢性腹泻儿童多见，原因复杂，长期的腹泻多会伴有严重的电解质紊乱、营养障碍及生长发育的障碍，属于儿童腹泻致死的主要病因。相关报道显示在慢性腹泻中儿童的病死率约在30%左右，严重威胁到儿童的生命健康安全[2]。对儿童慢性腹泻的病因及临床诊疗进行详细分析，可找出腹泻病因，并进行针对性治疗。本研究就近些年我院收治的慢性腹泻临床资料进行回顾性研究，旨在更好掌握慢性腹泻的流行病学情况，分析腹泻病因，更好对腹泻做出临床诊疗，提高疾病治疗效果。 　　1 资料与方法