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目的:探讨新生儿和小婴儿胃肠道气体减少的临床意义和X线诊断。方法:对20例X线腹部平片表现为胃肠道气体减少并经造影、穿刺、手术、病理等手段检查证实的病例进行回顾性分析。结果:20例中,男11例,女9例,年龄从1天～8个月。X线腹部平片表现为腹腔密度普遍增高,伴有或不伴有腹部膨隆,小肠、结肠内气体均明显减少或无气,其中梗阻性病变10例,胃肠经膈疝出疾病2例,占位性病变6例,功能性病变2例。结论:新生儿和小婴儿胃肠道气体减少可由多种类型病变引起,应特别警惕消化道梗阻。
Objective: To investigate the clinical significance and X-ray diagnosis of gastrointestinal gas loss in newborns and infants. Methods: A retrospective analysis was performed on 20 cases of X-ray abdomen radiographs showing gastrointestinal gas decrease and confirmed by imaging, puncture, operation and pathology. Results: In 20 cases, there were 11 males and 9 females, ranging in age from 1 day to 8 months. X-ray abdominal plain film showed generally increased density of the abdomen, with or without bulging abdominal, small intestine, colon were significantly reduced gas or no gas, including obstructive lesions in 10 cases, gastrointestinal diaphragmatic hernia in 2 cases, accounting for 6 cases of bit lesions, 2 cases of functional lesions. CONCLUSION: Gastrointestinal gas loss in newborns and infants can be caused by many types of disease and particular attention should be paid to digestive obstruction.