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目的探讨新生儿肠旋转不良发病情况、诊断、治疗。方法回顾分析48例肠旋转不良患儿临床资料,观察患儿治疗效果。结果 48例肠旋转不良患儿,治愈出院45例。肠坏死6例中,2例因全肠大部分坏死,合并严重中毒性休克,多脏器功能衰竭死亡,1例胃壁肌层缺如患儿因胃壁缺损严重,术后死亡。结论肠旋转不良诊断并不困难,关键在于儿科医师应该认识本病,对于呕吐黄绿水的患儿应结合腹部立卧位片,超声波,上消化道造影综合判断。对于便血患儿,不能仅考虑新生儿坏死性小肠结肠炎,新生儿自发性出血,应该考虑到更凶险的肠旋转不良合并中肠扭转。
Objective To investigate the incidence of neonatal malrotation, diagnosis and treatment. Methods Retrospective analysis of 48 cases of intestinal malrotation in children with clinical data to observe the therapeutic effect in children. Results 48 cases of intestinal malrotation in children, 45 cases were discharged. In the 6 cases of intestinal necrosis, 2 cases died of necrosis of the whole intestine with severe toxic shock, multiple organ failure, and 1 case of gastric myometrial absence due to severe gastric wall defects and postoperative death. Conclusion The diagnosis of bowel dysplasia is not difficult, the key lies in pediatricians should know the disease, for children with vomiting yellow green water should be combined with abdominal recumbent film, ultrasound, upper gastrointestinal imaging comprehensive judgment. For children with blood in the stool, can not only consider neonatal necrotizing enterocolitis, neonatal spontaneous bleeding, should take into account the more dangerous intestinal malrotation combined with midgut torsion.