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本文总结十年来消化系统畸形儿41例临床资料,发生率占畸形总数的9.98％。男婴26例,女婴15例,手术证实26例,尸解证实16例,临床诊断与手术或尸解符合率占90.24％。临床表现以呕吐(75.61％)、腹胀(43.9％)、无胎便(21.95％)为主,其次胎便少、胎粪排泄延迟、便血、腹块等。其中58.5％患儿显示典型X片异常,其余平片不典型者作钡剂造影及其它方法确诊。通过分析必须重视母孕期及产后的监测。
This article summarizes the past 10 years 41 cases of digestive system malformations clinical data, the incidence of malformations accounted for 9.98% of the total. 26 cases of baby boy and 15 cases of baby girl, 26 cases were confirmed by operation and 16 cases were confirmed by autopsy. The coincidence rate of clinical diagnosis and operation or autopsy accounted for 90.24%. The main clinical manifestations were vomiting (75.61%), abdominal distension (43.9%) and no meiosis (21.95%), followed by less ecthyma, delayed excretion of meconium, blood in the stool, and abdominal mass. 58.5% of them showed typical X-ray abnormalities, while the rest of the atypical cases were confirmed by barium contrast and other methods. Through analysis must pay attention to the motherhood and postnatal monitoring.