摘要
本文对我院十年来新生儿病房收治的62例消化道畸形进行回顾性分析，发现肠旋转不良最多见（25．8％），其次为巨结肠、空回肠畸形、食道闭锁及十二指肠畸形等；临床表现以呕吐最多，发生率达87.1％，其出现时间、方式、内容物又因畸形类型而各异，其他症征包括腹胀（53．2％）、胎便排出异常（42.0％）、黄痘（30．6％）及便秘、腹泻等。掌握这类疾病的临床特点有助于早期诊治。本文还对辅助检查的选择及治疗措施进行了探讨。
62 cases of gastrointestinal abnormalities were clinical retrospectively analysed at our newborn ward from 1985 to 1995. We found that malrotation is the most common cause of intestinal obstruction. Intestinal atresias involving the duodenum, jejunum, ileum and Hirschsprung's disease are observed with nearly equal frequency in our study. Vomitting is major clinical manifestation (87.1 %). The onset, timing, quantity, quality and characteristics of the infant's vomitus depend on the types of malformation. Other manifestations including: abdominal distension (53. 2%), abnormal passage of meconium (42.0%), hyperbilirubinemia (30. 6%), constipation and diarrhea. Neonatologists should be thoroughly acquainted with these signs and symptomes to differentiate the gastrointestinal disturbances from major medical or surgical emergencies. Additional preoperative work-up and management were discussed
出处
《新生儿科杂志》
CAS
1998年第2期54-57,共4页
The Journal of Neonatology
