摘要
[背景 ]总结分析先天性肥厚性幽门狭窄临床诊断、治疗经验及影响治疗的相关因素 .[病例报告 ]回顾 1990～ 1999年收治的先天性肥厚性幽门狭窄 2 0例 ,对其临床表现、诊断以及治疗进行分析 .2 0例中手术治疗 18例 ,其中 3例幽门十二指肠交界处粘膜在术中破裂 ,修补后覆盖大网膜 ,术后无 1例消化道瘘 .[讨论 ]先天性肥厚性幽门狭窄患儿在生后 3～ 4周出现呕吐症状 .根据典型的临床表现和X线钡餐透视可确定诊断 ,及时发现并修补破裂的粘膜可防止消化道瘘 .
BACKGROUND To investigate the clinical diagnosis and treatment of congenital hypertrophic pyloric stenosis (CHPS) and to understand the correlative factors for affecting treatment. CASE REPORT 20 cases of congenital hypertrophic pyloric stenosis treated from 1990 to 1999 were analyzed retrospectively for clinical manifestation, diagnostic methods and treatment. Out of 20 cases of CHPS, 18 cases were treated by operation , in which 3 cases damaged the membrane layer at the gastroduodenal junction in operation. This damage was repaired and covered with the great omentum. Subsequent investigation revealed none of the patients suffered with digestive tract fistula after surgery. DISCUSSION The typical presentation of CHPS is nausea and vomiting for 3～4 weeks. The diagnosis is confirmed by barium swallow X ray and the leakage at the gastroduodenal junction can be prevented by prompt surgical repair using the greater omentum. Postsurgical transfusion of blood results in improved speed of recovery, especially in children.
出处
《延边大学医学学报》
CAS
2000年第3期208-209,共2页
Journal of Medical Science Yanbian University
