The clinical symptoms of children with pediatric peptic ulcer are not typical. The most common symptom is abdominal pain,mostly dull ache,characterized by chronic and repeatable. In few cases,it could affect learning and sleeping. Without paying enough attention,it could prolong the illness course,increase recurrence rate,and often appear misseddiagnosis and missed diagnosis. In this paper,30 cases of children with duodenal ulcer and superficial gastritis were retrospectively analyzed. All of them had repeatable paroxysmal upper abdominal or para umbilical pain,and the duodenal ulcer appears class round,oval,linear,irregular or cream spot sample,with the surrounding mucosa edema under electronic gastroscopy;and patients had superficial gastritis manifestations such as mucosal hyperemia and edema of gastric antrum. HP test was positive in 25 cases(83. 3% ). Taking a comprehensive treatment and Hp eradication therapy were performed in patients with Hp positive. 28 cases were completely treated remission in 4 - 6 weeks,and the cure rate was 93. 3% ;Hp infection eradication rate was 76. 0%(19 / 25). The Hp positive rate of children duodenal ulcer with superficial gastritis was high,and complete eradication of Hp infection could promote the peptic ulcer healing,and reduce the recurrence.%儿童消化性溃疡临床表现不典型，最常见症状为腹痛，多为隐痛，表现为慢性、反复性，少数可影响学习和睡眠，如未引起足够重视，则引起患儿病程延长、复发率高，常出现漏诊、误诊。本文对30例十二指肠溃疡伴浅表性胃炎患儿临床资料进行回顾性分析。患儿均有反复阵发性上腹部或脐周疼痛，电子胃镜示十二指肠溃疡多呈类圆形、椭圆形、线形、不规则形或霜斑样，伴周围黏膜水肿；患儿均有胃窦部黏膜充血、水肿等浅表性胃炎表现。幽门螺杆菌（Hp）检测阳性25例（83.3%）。采取综合治疗以及对 Hp 阳性患儿进行根除 Hp 治疗。28例4~6周完全缓解，治愈率为93.3%；Hp 根除率为76.0%（19/25）。十二指肠溃疡伴浅表性胃炎患儿 Hp 阳性率高，彻底根除 Hp，可促进消化性溃疡的愈合，减少复发。
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