诊断小儿病患患细肠细菌过度生长的困难
Luanna Campos Tuñas1, Ana Clara Rigueti Toma1, Ricardo Katsuya Toma2
1Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Einstein (Sao Paulo, Brazil)
|March 4, 2026
概括
一个儿科病例突出了患有慢性腹痛的年轻女孩的小肠细菌过度生长 (SIBO). 通过气呼吸试验的诊断和成功的甲尼达治疗证实了SIBO.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 微生物学 微生物学
- 消化系统健康 消化系统健康
背景情况:
- 一个3.5岁的女性呈现了10个月的腹痛,张胀,吐和浮的病史.
- 该患者没有明显的并发症或风险因素,通常与小肠细菌过度生长 (SIBO) 相关.
- 最初的差异诊断包括常见的胃肠道疾病,如乳糖不耐症,腹病和便秘.
研究的目的:
- 研究小儿病人的细肠细菌过度生长 (SIBO) 的诊断过程和管理.
- 强调在儿童出现慢性,不明原因的胃肠道症状时考虑SIBO的重要性.
- 评估在儿科病例中治疗SIBO时的甲尼达的疗效.
主要方法:
- 临床病史评估,包括详细的症状审查和并发性疾病的排除.
- 通过使用含乳糖的气呼吸测试来确认SIBO的诊断.
- 放射性成像以支持诊断.
- 用美特罗尼达治疗 (30毫克/公斤/天10天).
主要成果:
- 小肠细菌过度生长 (SIBO) 通过气呼吸试验和放射性发现来诊断.
- 患者在治疗后经历了显著的临床缓解腹痛,张胀,吐和浮气.
- 后续的气呼吸试验证实没有小肠细菌过度生长 (SIBO).
结论:
- 小肠细菌过度生长 (SIBO) 可能在儿童中呈现异常,在慢性胃肠道疾病的情况下应考虑.
- 气呼吸测试是诊断儿科患者SIBO的一个有价值的工具.
- 在这个儿科病例中,甲尼达有效治疗了SIBO,导致症状消失.
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