摘要
周期性呕吐综合征(CVS)是一种功能性胃肠病。2016年5月"功能性胃肠病罗马Ⅳ标准"发布,将其定义为6月内有2次及2次以上的剧烈的阵发性呕吐,伴或不伴干呕,每次持续数小时至数天,每位患儿发作形式固定,呕吐发作间隔数周至数月,发作间期可恢复基础健康水平。因此认为有相应临床表现,结合实验室及影像学检查,经过适当评估即可诊断,目前该病发病机制仍不清楚,治疗多为经验性用药,旨在预防发作,现就CVS的诊断、发病机制及治疗进展等做一阐述。
Cyclic vomiting syndrome is a functional gastrointestinal disorder.In May 2016,RomeⅣcriteria of Functional Gastrointestinal Diseases have been published,it is defined as at least twice paroxysmal vomiting within 6 months,with or without retching,each time lasting for hours to days,every patient has a fixed episode,each episode interval can be several weeks to months,and the interictal period can restore the basic health level.The disease with the corresponding clinical manifestaion,laboratory and imaging examination can be diagnosed after appropriate evaluation.At present,the pathogenesis of the disease is still unclear,most of them are treated according to clinical experience,the purpose is to prevent seizures.The review is mainly focused on the research progress of the diagnosis,pathogenesis and treatment progress of cyclical vomiting syndrome.
作者
蒋元媛
李中跃
Jiang Yuanyuan;Li Zhongyue(Department of Gastroenterology,Ministry of Education Key Laboratory of Child Development and Disorders,National Cli-nical Research Center for Child Health and Disorders,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Children′s Hospital of Chongqing Medical University,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2019年第21期1668-1671,共4页
Chinese Journal of Applied Clinical Pediatrics
关键词
儿童
周期性呕吐
发病机制
诊断
治疗
Child
Cyclic vomiting
Pathogenesis
Diagnosis
Therapy
