小儿顽固性呕吐27例X线分析

X-ray analysis of obstinate vomiting in 27 infants

目的探讨X线检查对小儿顽固性呕吐的诊断价值。方法搜集临床27例小儿顽固性呕吐病例行X线平片和上消化道造影检查,对其病理及X线表现进行分析。结果27例中,先天性食管闭锁见于5例,先天性肥厚性幽门狭窄17例,中肠扭转2例,胃-食管反流(贲门松驰)3例。24例行手术治愈,3例保守治疗。结论常规X线检查仍是患儿顽固性呕吐的首选和重要检查方法,能为临床诊断和指导治疗提供可靠的依据。

Objective To discuss the diagnostic value of X-ray examination for obstinate vomiting in infants. Methods Twentyseven infants with obstinate vomiting underwent plain radiographies and upper gastrointestinal examinations. The X-ray findings in all infants were retrospectively analyzed and compared with pathology. Results Among 27 cases, congenital esophageal occlusion was found in 5, congenital hypertrophic pyloric stenosis in 17, midgut torsion in 2, and gastroesophageal reflux in 3. 24 ill infants were cured by operation, while remainder 3 infants received the conservative treatment. Conclusion Routine X-ray examination can provide reliable evidence for diagnosis and treatment so that it should be taken as a first selective means in the diagnosis of infantile obstinate vomiting.