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目的总结新生儿肠旋转不良的诊断及治疗经验。方法回顾性分析34例新生儿肠旋转不良患儿的诊治资料。结果 34例术中均证实肠旋转不良的诊断。其中,3例因中肠扭转肠坏死而放弃治疗,31例实施了Ladds手术。患儿合并的消化道疾病有十二指肠隔膜、环状胰腺、空肠闭锁和梅克尔憩室等。结论新生儿肠旋转不良表现为十二指肠不全性或完全性梗阻,早诊断早治疗可减少肠坏死的发生。手术要求完全解除梗阻,并行全胃肠道检查,避免并发疾病漏诊,减少二次手术;术后需要有良好的监护和支持治疗,提高治愈率。
Objective To summarize the diagnosis and treatment experience of neonatal intestinal malrotation. Methods Retrospective analysis of 34 cases of neonatal malrotated children with diagnosis and treatment of children. Results All the 34 cases confirmed the diagnosis of intestinal malrotation. Among them, 3 patients gave up treatment because of intestine to reverse intestinal necrosis, 31 patients performed Ladd’s operation. Gastrointestinal diseases in children with duodenal septum, annular pancreas, jejunal atresia and Merkel diverticula. Conclusion Neonatal bowel dysfunction manifested as duodenal incomplete or complete obstruction, early diagnosis and early treatment can reduce the incidence of intestinal necrosis. Surgery requires the complete lifting of obstruction, parallel gastrointestinal tract examination, to avoid misdiagnosis of concurrent diseases, reducing the second surgery; postoperative need to have good care and supportive treatment to improve the cure rate.