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患儿,男,2天。生后即出生喘鸣,呼吸困难,进食后呛咳,患儿头后仰时症状减轻。体检:发育营养可,口唇紫绀,双肺痰鸣音,心肺听诊正常。患儿系第一胎足月顺产,母孕期羊水正常,无家庭遗传史。 X线检查:正位胸片主动脉未见异常改变。食道钡透:钡过缓慢受阻。正位,查当于主动脉弓水平,食管右侧壁有一个明显的主动脉压迹,在其下方食管左侧壁有一个较小的压迹;右前斜位,食管后壁及前壁均见压迹,以前者较高而大。食管上部扩张,食管下部、
Children, male, 2 days. Born after birth, wheezing, breathing difficulties, coughing after eating, children with backward head back symptoms reduced. Physical examination: development and nutrition, cyanosis of the lips, lung phlegm sound, cardiopulmonary auscultation normal. Children with full-term first-term fetus, pregnant women, normal amniotic fluid, no family history. X-ray examination: anteroposterior chest X-ray showed no abnormal changes. Barium through the esophagus: barium too slowly blocked. Positive position, check the aortic arch level, the right esophagus has a significant right aortic plaque, left below the esophagus has a smaller left ventricular septum; right anterior oblique, posterior esophageal and anterior wall see pressure Trace, the former is high and big. Upper esophageal expansion, the lower esophagus,