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目的分析新生儿消化系统畸形的临床特点,探讨早期诊断的临床要点。方法回顾我院20年来收治的新生儿消化系统畸形病例,分析其临床特点和诊断要点。结果20例中食管闭锁及食管气管瘘6例、幽门肥厚狭窄4例、肠闭锁2例、肠狭窄2例,先天性巨结肠2例、肛门闭锁2例、肠旋转不良1例、膈疝1例。14例手术治愈,4例家长放弃治疗,2例术后死亡。结论新生儿消化系统畸形临床无特异性表现,以胎便排泄异常、呕吐、腹胀、青紫及呼吸困难、腹部包块等为主,在工作中要重视病史、仔细查体,必要时结合立位胸腹平片、碘油钡剂消化道造影、腹部B超以尽早诊断。
Objective To analyze the clinical features of neonatal digestive system deformity and discuss the clinical points of early diagnosis. Methods To review the digestive malformations of neonates admitted to our hospital over the past 20 years, and to analyze the clinical features and diagnosis points. Results In 20 cases esophageal atresia and esophageal tracheal fistula in 6 cases, pyloric hypertrophy in 4 cases, 2 cases of intestinal obstruction, 2 cases of intestinal stricture, 2 cases of congenital megacolon, 2 cases of anal atresia, 1 cases of intestinal malrotation, 1 case of diaphragmatic hernia . 14 cases were cured, 4 cases gave up treatment, and 2 cases died after operation. Conclusions Neonatal digestive system deformity clinical nonspecific performance to abnormal discharge of fetal feces, vomiting, bloating, bruising and breathing difficulties, abdominal mass, etc., in the work to pay attention to the history, carefully check the body, if necessary, with the chest Abdominal plain film, lipiodol barium gastrointestinal imaging, abdominal B-as early as possible diagnosis.