摘要
目的:探讨新生儿和小婴儿胃肠道气体减少的临床意义和X线诊断。方法:对20例X线腹部平片表现为胃肠道气体减少并经造影、穿刺、手术、病理等手段检查证实的病例进行回顾性分析。结果:20例中,男11例,女9例,年龄从1天~8个月。X线腹部平片表现为腹腔密度普遍增高,伴有或不伴有腹部膨隆,小肠、结肠内气体均明显减少或无气,其中梗阻性病变10例,胃肠经膈疝出疾病2例,占位性病变6例,功能性病变2例。结论:新生儿和小婴儿胃肠道气体减少可由多种类型病变引起,应特别警惕消化道梗阻。
Objective: To explore the clinical significance and X-ray diagnosis of gas decrease of gastrointestinal tract in neonates and little infants. Methods: 20 cases whose X - ray abdominal plain films showed gas decrease of gastrointestinal tract and diagnosed definitely by contrast examination,punctuation,operation and pathology were analyzed retrospectively. Results: Among 20 cases,11 cases were boys and 9 cases were girls,and their age was from 1 day to 8 months,the manifestations of X - ray abdominal plain films included general density increase of abdominal cavity,accompanying abdominal part bulge or not,gas decrease obviously or disappearance of small intestine and colon; 10 cases were found with obstructive diseases,2 cases were found with stomach/intestine diaphragmatocele,6 cases were found with space-occupying lesions and 2 cases were found with functional diseases. Conclusion: Gas decrease of gastrointestinal tract in neo- nates and little infants can be caused by many diseases,more attention should be paid to digestive tract obstruction.
出处
《中国妇幼保健》
CAS
北大核心
2010年第21期3036-3038,共3页
Maternal and Child Health Care of China
关键词
X线诊断
胃肠道气体减少征
消化道梗阻
X-ray diagnosis
Gas decrease of gastrointestinal tract
Digestive tract obstruction