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目的 :总结并发中肠扭转的新生儿肠旋转不良的临床特点 ,有助于早期诊断和治疗。方法 :总结分析我院 1987～ 1999年收治的新生儿肠旋转不良并发中肠扭转 34例。结果 :出生后 3天内出现呕吐 73.5 %(2 5 / 34) ,其中 2 4小时内出现呕吐 5 8.8% (2 0 / 34) ;呕血和 (或 )便血 2 0 .6 % (7/ 34) ;肠坏死 11.8% (4 / 34) ;腹部有阳性体征 2 0 .6 % (7/ 34)。X线检查均显示小肠气体影明显减少 ,往往局限于某一象限。结论 :新生儿肠旋转不良并发中肠扭转时 ,呕吐出现时间提前 ,呕血和 (或 )便血少见。腹部体征大部分是阴性 ,一旦出现阳性体征 ,往往提示肠坏死。腹部 X线平片能协助诊断
Objective: To summarize the clinical features of neonatal malrotated intestinal metaplasia with congenital torsion, which is helpful for early diagnosis and treatment. Methods: A total of 34 cases of midgut twisting complicated with malrotation of newborn infants admitted to our hospital from 1987 to 1999 were analyzed. Results: Vomiting was found in 73.5% (2 5/34) of the patients within 3 days after birth, of which vomiting was 58.8% (20/34) in 24 hours, 20.6% (7/34) of hematemesis and / or blood in the stool, ; Intestinal necrosis 11.8% (4/34); positive abdominal signs 20.6% (7/34). X-ray examination showed significant reduction of gas in the small intestine, often confined to a quadrant. Conclusion: Neonatal bowel dysfunction complicated by midgut twisting, vomiting appeared earlier, vomiting and / or blood in the stool is rare. Most of the signs of the abdomen is negative, once positive signs, often prompted intestinal necrosis. Abdominal X-ray can help diagnose