177例0~3月婴儿电子胃镜检查临床研究

Application of electronic gastroscopy in 177 infants at ages of 0-3 months

摘要:

目的：探讨电子胃镜检查在0~3月婴儿的安全性及临床应用。方法：对177 例0~3月有上消化道症状的婴儿应用日产奥林巴斯电子胃镜GIF 260或GIF 230进行检查， 65例患儿操作中采用心电监护仪Ⅱ导联全程监视心率、心律、经皮脉搏血氧饱和度。上消化道异物者同时行异物取出术；上消化道出血者发现出血灶并有活动性出血予胃镜下喷洒止血药物止血；胃扭转同时行胃镜下整复；食管狭窄部分可行食管扩张术。结果：全部患儿都顺利接受胃镜检查且耐受良好。68例上消化道出血患儿胃镜检查有阳性发现者42例。104例反复呕吐患儿胃镜检查有阳性发现者92例。5例上消化道异物全部经胃镜取出，22例上消化道出血予胃镜下喷洒止血药或电凝止血，3例胃扭转在胃镜下修复。结论：婴儿电子胃镜检查安全、直观，是当今诊断婴儿消化道疾病重要的技术,值得推广应用。［中国当代儿科杂志，2009，11（8）：666-668］

Abstract:

OBJECTIVE: To study the clinical application and the safety of electronic gastroscopy in infants at ages of 0-3 months.MethodsAn Olympus electronic gastroscope GIF 260 or GIF 230 was applied in 177 infants at ages of 0-3 months with upper gastrointestinal symptoms. An ECG Monitor II was used for monitoring heart rate, cardiac rhythm and pulse transcutaneous oxygen saturation in 65 infants during the whole process of gastroscopy. Some related treatments were performed under the electronic gastroscope, such as removal of foreign body, topical administration of anthemorrhagic drugs, reduction of volvulus of stomach and bougienage of oesophagus.ResultsAll 177 infants were examined successfully and they all well tolerated. Forty-two cases demonstrated positive findings in 68 cases of upper gastrointestinal bleeding. Ninety-two cases demonstrated positive findings in 104 cases of recurrent vomiting. Under the electronic gastroscope, removal of foreign body in the upper gastrointestinal tract was performed in 5 cases; topical administration of anthemorrhagic drugs or electrocoagulation for stopping bleeding in 22 cases; reduction of volvulus of stomach in 3 cases. CONCLUSIONS: As a safe and visual means for diagnosis of digestive tract diseases, the electronic gastroscopy may be recommended for wide application in infants at ages of 0-3 months.［Chin J Contemp Pediatr, 2009, 11 (8):666-668］