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为探索新生儿呕吐原因,行上消化道造影检查177例,发现了水平横胃导致呕吐者45例,仅次于胃扭转。是值得放射科及临床注意的。它的形态正位观,胃窦部抬高与胃体、底同一水平高度,同时胃大弯侧向前上方举起,大小弯不易分清,十二指肠球顶指向后,与胃窦部重叠。侧位观胃窦与胃底前后重叠,位于膈下,横向走行,腹侧胃上方可见小弯角切迹,较深,十二指肠球顶指向脊柱。当给予患儿头高45~60°角并左前斜位45~60。角时,不再出现呕吐,排空顺利,采用此角度喂养疗法,效果良好。此胃型及双角度疗法国内外尚无报道。
To explore the causes of neonatal vomiting, upper gastrointestinal imaging angiography 177 cases, found that the level of horizontal stomach caused vomiting in 45 cases, second only to gastric volvulus. It is worth radiology and clinical attention. Its morphology is positive view, gastric antrum elevation and the body, the same level at the end of the same height at the same time the stomach curved side of the front raised up, the size of the bend is not easy to distinguish, duodenal dome pointing, and the antrum overlapping. Side view of the antrum and gastric fundus before and after the overlap, located in the diaphragm, horizontal walk, ventral stomach can be seen at a small angle notch, deeper, duodenal dome pointing to the spine. When given to children with head 45 ~ 60 ° angle and left anterior oblique 45 ~ 60. When the corner, no longer vomiting, emptying smoothly, using this perspective feeding therapy, the effect is good. This stomach and double angle therapy has not been reported at home and abroad.