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1、小儿胃炎的病因诊断与治疗观北安市妇幼保健院164000摘要：目的研究分析小儿胃炎的病因诊断与治疗措施。方法此次研宄的对象是选取我院2011年12月——2013年10月间收治的128名胃炎患儿，将其临床资料进行回顾性分析，并总结诊断结果、病因、治疗措施以及治疗效果。结果木组研究结果显示，有110名患者通过胃窦粘膜病理检查发现固有层内存在淋巴细胞浸润且伴有浆细胞，有14名患者有较多的多核粒细胞浸润以及淋巴细胞浸润，通过胃镜检查发现其主细胞比较发达，仅存少量的壁细胞，细胞的分化比较低,有少部分的细胞具有较高的异形性；对所有患儿进行细菌培养，结果显示有56名患儿HP阳性，占
2、总数的61.3%。在治疗上主要根据患儿的病因、病情程度、临床表现、病情发展状况等方面综合考虑采取个性化的治疗方案。经过治疗后取得了良好的临床效果，有122名患儿得到明显的改善，胃粘膜炎症得到明显的降低，治疗有效率为95.3%。结论小儿胃炎主要由于幽门螺杆菌感染引起，对于患儿的诊断主要通过胃窦粘膜病理检查以及胃镜检查，对于患儿的治疗则要综合考虑患儿的病因、病情程度、临床表现、病情发展状况等方面采取个性化的治疗方案。关键词：小儿胃炎；病因；诊断；治疗措施；临床效果[Abstract]ObjectiveTostudytheetiologicaldiagnosisandtr
3、eatmentofgastritisinchildren.Methodstheresearchobjectisselectedinourhospitalin2011December-weretreatedinourhospitalbetweenOctober2013128gastritisinchildren,theclinicaldatawereretrospectiveanalysis,andsummarizethediagnosisresult,thecauseofdisease,treatmentandtherapeuticeffect.Resultsthe
4、studyshowedthat110patientsthroughtheantralmucosapathologicalexaminationfoundthatthelaminapropriaexistsininfiltratinglymphocytesandaccompaniedbyplasmacells,14patientshavemoreofthepolymorphonuclearcellinfiltrationandlymphocyteinfiltration,throughgastroscopyfounditsprincipalcelldeveloped,
5、onlyasmallamountofcellwall,celldifferentiationisrelativelylow,asmallportionofthecellswithahigherprofile,thebacteriaofallpatients.Theresultsshowedthat56childrenwithHPpositive,accountingforthetotalnumberof61.3%.Inthetreatmentmainlyaccordingtothecauseofthedisease,thedegreeofdisease,clinic
6、almanifestations,diseasedevelopmentandotheraspectsofthecomprehensiveconsiderationtotakeindividualizedtreatmentprogram.Achievedgoodclinicaleffectaftertreatment,thereare122childrenhasbeensignificantlyimproved,theinflammationofgastricmucosahasbeensignificantlyreduced,theeffectiveratewas95
7、.3%.ConclusionchildrenwithgastritismainlycausedasaresultofHelicobacterpyloriinfection,forthediagnosisofchildrenmainlythroughthegastricantrummucosapathologicalexaminationandgastroscopy,fortreatmentofchildrentoconsideringchildrenetiology,severityofdisease,clinicalmanifestationsanddisea
