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目的:提出小儿肠重复畸形的病理分型,以利于了解各型的临床特点。临床资料:本组84例,肠内膈膜型2例,肠壁囊肿型9例,肠外管状型31例,肠外囊肿型35例,孤立型1例。以腹块就诊的24例,肠梗阻41例,消化道出血15例,肠穿孔腹膜炎2例,其他手术意外发现2例。结果:本组皆采用手术治疗,82例痊愈。2例新生儿分别死于中毒性休克和肠瘘败血症。结论:熟知本病的各种病理类型,利于判断分析复杂的临床表现,可提高诊断率。
Objective: To put forward pediatric intestinal deformity of the pathological type, in order to facilitate understanding of various types of clinical features. Clinical data: The group of 84 cases, 2 cases of intestinal type of diaphragm, intestinal wall cyst type 9 cases, 31 cases of extra-intestinal tube type, 35 cases of extra-cyst type, isolated in 1 case. Among them, 24 cases were treated by abdominal mass, 41 cases were intestinal obstruction, 15 cases were gastrointestinal bleeding, 2 cases were intestinal perforation peritonitis and 2 cases were found by other operation accidents. Results: This group were treated by surgery, 82 patients recovered. Two newborns died of toxic shock and intestinal fistula sepsis respectively. Conclusion: Familiar with the various pathological types of the disease, which will help to judge the complex clinical manifestations and improve the diagnosis rate.