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本文报告我院收治的15例小儿贲门失弛缓症,其中男10例,女5例。年龄,<2岁者9例,～6岁者1例,～13岁5例。15例均有不同程度的持续、反复呕吐和吞咽困难。病程平均1.2年。14例伴有营养不良,4例继发呼吸道感染。诊断有赖于食道 X 线检查,表现为贲门部收缩,食道中下段扩张,钡盐通过贲门极度迟缓,呈鸟嘴形或漏斗形影像。10例作了手术治疗。本文着重讨论了该病的发病机理、诊断和治疗。
This article reports 15 cases of children admitted to our hospital achalasia, including 10 males and 5 females. There were 9 patients <2 years old, 1 patient ~ 6 years old and 5 cases ~ 13 years old. All 15 patients had varying degrees of persistent, repeated vomiting and dysphagia. Duration of an average of 1.2 years. 14 cases accompanied by malnutrition, 4 cases of secondary respiratory tract infection. Diagnosis depends on esophageal X-ray examination, manifested as cardia Department contraction, lower esophagus expansion, barium salt through the cardia was extremely slow, was beak-shaped or funnel-shaped image. 10 cases were treated surgically. This article focuses on the pathogenesis, diagnosis and treatment of the disease.