本文選題：新生兒　切入點(diǎn)：十二指腸潰瘍　出處：《世界最新醫(yī)學(xué)信息文摘》2016年75期 　論文類型：期刊論文

【摘要】：目的觀察分析新生兒十二指腸梗阻的X線表現(xiàn)以及鑒別診斷方法。方法隨機(jī)從我院2014年6月至2015年6月期間收治十二指腸梗阻患兒中抽取50例作為研討對(duì)象,所有患兒經(jīng)手術(shù)確診,所有患兒均進(jìn)行腹部直立位檢查,其中34例患兒還實(shí)施了泛影葡胺灌腸輔助檢查,20例實(shí)施了上消化道泛影葡胺檢查。結(jié)果腹部直立位檢查結(jié)果提示,單泡征10例、雙泡征25例、階梯狀多個(gè)短小氣液平9例、三泡征6例。上消化道造影檢查結(jié)果提示,完全梗阻17例,不完全梗阻14例,空腸位置異常7例;結(jié)腸造影結(jié)果提示,細(xì)小結(jié)腸8例,盲部位置異常28例。結(jié)論采用X線檢查可對(duì)新生兒十二指腸梗阻做出明確診斷,但需依靠上消化道泛影葡胺造影技術(shù)和灌腸輔助檢查進(jìn)行鑒別診斷。
[Abstract]:Objective to observe and analyze the X-ray manifestations and differential diagnosis of duodenal obstruction in newborns. Methods 50 cases of duodenal obstruction were randomly selected from June 2014 to June 2015 in our hospital. All the children were diagnosed by operation, all of them underwent abdominal orthostatic examination, and 34 of them also underwent meglumine diatrizoate enema examination. There were 10 cases of single bubble sign, 25 cases of double bubble sign, 9 cases of stepped multiple short gas and liquid flat, 6 cases of three bubble sign. The results of upper digestive tract angiography showed that 17 cases had complete obstruction, 14 cases had incomplete obstruction, 7 cases had jejunum abnormal position, and the results of colography showed that, Conclusion the diagnosis of duodenal obstruction in neonates can be made by X-ray examination, but the differential diagnosis depends on the technique of meglumine diatrizography of upper digestive tract and the assistant examination of enema.
【作者單位】： 吉林省白山市中心醫(yī)院放射科;吉林省白山市中心醫(yī)院泌尿外科;
【分類號(hào)】：R722.1;R816.92

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本文編號(hào)：1612617