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目的探讨X线检查诊断新生儿食管闭锁的意义。方法报道经X线检查确诊的新生儿先天性食管闭锁6例。结果在X线透视下,经鼻插胃管至食管盲端、定位后摄胸腹平片,了解肺部炎症及胃肠积气,胃管注入适量碘液,食管造影后再摄片,了解盲端上段食管气管瘘,进行食管闭锁分型。I型1例,III型4型,V型1例。结论X线检查对食管闭锁的确诊具决定性意义,对本病早期诊断、适时手术,提高存活率至关重要。
Objective To investigate the significance of X-ray examination in the diagnosis of neonatal esophageal atresia. Methods Six cases of congenital esophageal atresia confirmed by X-ray examination were reported. Results X-ray fluoroscopy, the nasal cannula to the blind end of the esophagus, posthumously positioned abdominal plain film, to understand the lung inflammation and gastrointestinal gas, gastric tube into the amount of iodine, esophageal angiography and then filming to understand Upper end of the blind end of esophageal fistula, esophageal atresia type. 1 case of type I, 4 type of type III and 1 case of type V. Conclusion X-ray examination for the diagnosis of esophageal atresia is decisive, early diagnosis of the disease, timely surgery, improve survival rate is crucial.