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幽门前隔膜是一种少见疾病,且常伴有严重的并发症。早期正确诊断和及时治疗,对减少并发症和保证儿童正常发育具有重要意义。现将我科收治的两例报告如下。 1 病例报告 例1 男,生后4天。主因生后3天始频繁呕吐收住院。羊水量多,生产史正常,胎便正常。查体:精神反应正常。心肺未见异常。腹胀,未见肠型及蠕动波,肠鸣音弱。指肛检查正常。立体腹平片示胃扩张,胃壁积气。予以对症治疗后行钡餐造影检查示:胃扩张,幽门处钡剂通过困难,考虑幽门梗阻,怀疑幽门前隔膜。行手术探查,术中证实上述诊断。切除隔膜后,肠梗阻症状解除,术后10天痊愈出院。 例2 女,生后3天。主因间断呕吐60小时伴呕棕色液
The pyloric septum is a rare disease and is often accompanied by serious complications. Early correct diagnosis and timely treatment, to reduce complications and ensure the normal development of children is of great significance. Now my department admitted two cases are as follows. 1 case report 1 male, 4 days after birth. Mainly due to frequent 3 days after birth vomiting admitted to hospital. Amniotic fluid volume, the production history is normal, normal meconium. Physical examination: normal mental reaction. Heart and lung no abnormalities. Abdominal distension, no intestinal and peristaltic waves, bowel sounds weak. Refers to normal anal examination. Stereoscopic abdominal film showed stomach dilation, gas accumulation in the stomach. To be symptomatic treatment after barium meal angiography showed: stomach dilatation, pyloric barium through difficult, consider pyloric obstruction, suspected pyloric septum. Surgical exploration, intraoperative confirmed the above diagnosis. After the diaphragm was removed, the intestinal obstruction was relieved and he was discharged after 10 days. Example 2 female, 3 days after birth. Mainly due to intermittent vomiting 60 hours with vomiting brown liquid