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儿童假性消化道出血的鉴别

颜伟慧 王莹

中国实用儿科杂志2024,Vol.39Issue(7):485-488,4.
中国实用儿科杂志2024,Vol.39Issue(7):485-488,4.DOI:10.19538/j.ek2024070602

儿童假性消化道出血的鉴别

Identification of pseudo-gastrointestinal bleeding in children

颜伟慧 1王莹1

作者信息

  • 1. 上海交通大学医学院附属新华医院儿消化营养科,上海 200092
  • 折叠

摘要

Abstract

Distinguishing true and false gastrointestinal bleeding is an essential skill that every pediatrician needs to master.The main causes of pseudo-gastrointestinal bleeding are bleeding from the mouth,nose,throat,respiratory tract,and exogenous food or drug interference.In most cases,it is easier to distinguish true from false gastrointestinal bleeding by history inquiry,physical examination,and fecal occult blood test,avoiding unnecessary invasive examination and surgery as much as possible.However,there are some misdiagnoses and emergencies in clinical practice.If bleeding from the mouth,nose,pharynx,respiratory tract and digestive tract is ruled out after adequate clinical evaluation,the possibility of malingery or factitious disorders should be considered.

关键词

消化道出血/假性/黑便/便血/呕血

Key words

gastrointestinal bleeding/pseudomonas/melena/hematochezia/haematemesis

分类

医药卫生

引用本文复制引用

颜伟慧,王莹..儿童假性消化道出血的鉴别[J].中国实用儿科杂志,2024,39(7):485-488,4.

中国实用儿科杂志

OA北大核心CSTPCD

1005-2224

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