Etiology of Lower Gastrointestinal Bleeding in Childhood

兒童下消化道出血

翁仁茂(Ren-Maw Wong) ； 黃碧蓮(Bin-Liang Huang) ； 呂志忠(Chu-Chong Lu) ； 黃德揚(Teh-Yang Huang)

《Acta Paediatrica Sinica》 26卷1期 (1985/02) Pp. 8-13

摘要

高醫小兒科自民國69年1月到72年3月間，共有221例下消化道出血。其中男性145例，女性75例，男與女之比爲1.91比1。病因分成四羣：(1) Enterocolitis 114例占51.6%。(2) Localized lesion 60例佔27.1%。(3) Systemic disease 34例佔15.4%。(4) Unknown cause 13例佔5.9%。如以年齡來分，在新生兒和2歲以下的嬰兒，其出血原因以Infectious diarrhea爲主，其次分別是Sepsis和Intussusception, 2歲以上的兒童則以Polyp爲主。就全部病例而言，以Salmonella enterocolitis引起的下消化道出血最爲常見，共48例佔21.7%其次是Intussusception 29例佔13.1%，再其次是Polyp和Sepsis各有20例佔9.1%。

關鍵字

lower gastrointestinal (LGI) bleeding ； salmonellosis ； intussusception ； enterocolitis

並列摘要

A total of 221 cases of lower gastrointestinal (LGI) bleeding in children were seen at the Department of Pediatrics, Kaohsiung Medical College Hospital, between January 1980 and March 1983. Among them, 145 cases were male and 76 female, or a ratio of 1.91 to 1. The causes of LGI bleeding in children could be subdivided into four groups: (1) enterocolitis, 114 cases (51.6%); (2) localized lesion, 60 cases (27.1%); (3) systemic disease, 34 cases (15.4%); and (4) unknown cause, 13 cases (5.9%). Infectious diarrhea and intussusception were found to be the most common underlying causes of the bleeding in newborn infants and children under two years of age, whereas localized lesion (polyp) was often seen in children over two years. In this study, the frequency of disease complicated with LGI bleeding was in this order: salmonella enterocolitis (48 cases, 21.7%), intussuscetion (29 cases, 13.1%), Polyp (20 cases, 9.1%), and sepsis (20 cases, 9.1%).