新生儿十二指肠梗阻的X线表现及鉴别诊断方法分析

发布时间：2018-03-14 19:40

本文选题：新生儿　切入点：十二指肠溃疡　出处：《世界最新医学信息文摘》2016年75期 　论文类型：期刊论文

【摘要】：目的观察分析新生儿十二指肠梗阻的X线表现以及鉴别诊断方法。方法随机从我院2014年6月至2015年6月期间收治十二指肠梗阻患儿中抽取50例作为研讨对象,所有患儿经手术确诊,所有患儿均进行腹部直立位检查,其中34例患儿还实施了泛影葡胺灌肠辅助检查,20例实施了上消化道泛影葡胺检查。结果腹部直立位检查结果提示,单泡征10例、双泡征25例、阶梯状多个短小气液平9例、三泡征6例。上消化道造影检查结果提示,完全梗阻17例,不完全梗阻14例,空肠位置异常7例;结肠造影结果提示,细小结肠8例,盲部位置异常28例。结论采用X线检查可对新生儿十二指肠梗阻做出明确诊断,但需依靠上消化道泛影葡胺造影技术和灌肠辅助检查进行鉴别诊断。
[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.
【作者单位】：吉林省白山市中心医院放射科;吉林省白山市中心医院泌尿外科;
【分类号】：R722.1;R816.92

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