论文部分内容阅读
目的：分析新生儿坏死性小肠结肠炎（NEC）的X线表现，提高对NEC的早期诊断率。方法：回顾分析18例确诊NEC患儿的腹部X线表现及临床资料。结果：肠间隙增厚12例，肠管积气扩张、分布不规则11例，少许肠管管状积气5例，肠管形态僵硬8例，肠壁积气5例，门脉积气3例，肠壁伴门脉积气2例，胃囊扩张3例，气腹1例。结论：腹部X线平片是诊断NEC的首选检查方法，对早期X线表现不典型患儿应短期动态监测，提高早期诊断率。“,”Objective:To analyze the X-ray fingings of patients with neonatal necrotizing entercolitis and to improve the early diagnostic accuracy.Methods:The X-ray fingings and clinical data of 18 neonates who were diagnosed with NEC were analyzed retrospectively.ResultsThickening of bowel wal was shown in 12 cases, distention of bowel was shown in 11 cases, tubular gas of a litle bowel was shown in 5 cases, stiffness of bowl was shown in 8 cases, pneumatosis intestinalis was shown in 5 cases,portal venous gas was shown in 3 cases, pneumatosis intestinalis and portal venous gas were was shown in 2 cases, pneumoperitoneum was shown in 1 cases.ConclusionsAbdominal plain film is the first choice for the necrotizing enterocolitis, patients with atypical X-ray fingings should dynamic monitoring and to improve the early diagnostic accuracy.