新生儿气腹12例临床X线分析

发布时间：2019-03-20 12:03

【摘要】：目的分析新生儿气腹的临床X线表现,探讨气腹发病原因及发生部位,以期为临床治疗提供资料。方法选择2009年1月至2015年6月本院收治的新生儿气腹患儿临床资料,回顾性分析其临床X线特点,发病原因及转归情况。结果共纳入新生儿气腹患儿12例,发病日龄3~15天,其中胃穿孔6例,5例胃泡明显,1例胃泡较小,表现为液体量多,胃泡消失或胃泡瘪小不规则,小肠无或仅有少量气体;肠穿孔6例,2例小肠壁肌层缺损穿孔,1例小肠溃疡穿孔,1例结肠壁肌层缺损穿孔,2例坏死性肠炎导致穿孔,表现为腹腔液体较多、小肠胀气扩张明显,肠壁增厚、可见肠壁积气及肠腔内多发小气液平面。结论新生儿气腹诊断较容易,根据不同原因导致气腹的临床X线特点,可结合临床表现对发病原因及部位做出初步诊断。
[Abstract]:Objective to analyze the clinical and X-ray manifestations of pneumoperitoneum in neonates, and to explore the cause and location of pneumoperitoneum in order to provide data for clinical treatment. Methods the clinical data of neonates with pneumoperitoneum admitted to our hospital from January 2009 to June 2015 were retrospectively analyzed. The clinical and X-ray features, causes and outcomes were analyzed retrospectively. Results 12 cases of neonate pneumoperitoneum were included. The age of onset was 3 days. Among them, 6 cases had gastric perforation, 5 cases had obvious gastric vesicle, 1 case had small gastric vesicle, the volume of fluid was more, the gastric vesicle disappeared or the gastric vesicle was small and irregular, and the small intestine had no or only a small amount of gas. There were 6 cases of intestinal perforation, 2 cases of small intestinal wall muscular layer defect perforation, 1 case of intestinal ulcer perforation, 1 case of colon wall muscular layer defect perforation, 2 cases of necrotizing enteritis resulting in perforation, characterized by more fluid in the abdominal cavity, obvious dilation of the small intestine, and thickening of the intestinal wall. Visible intestinal wall gas and intestinal cavity multiple small gas-liquid plane. Conclusion Neonatal pneumoperitoneum is easy to diagnose. According to the clinical and X-ray characteristics of pneumoperitoneum caused by different reasons, the cause and location of pneumoperitoneum can be preliminarily diagnosed in combination with clinical manifestations.
【作者单位】：山东省平邑县人民医院放射科;
【分类号】：R722.1;R816.92

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