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目的通过X线检查分析婴幼儿呕吐的常见原因。方法对63例由外科疾病所致呕吐的婴幼儿的病例资料进行回顾性分析,63例中进行X线平片检查38例,消化道钡餐造影23例,钡灌肠检查12例,空气灌肠34例。结果63例中食管闭锁4例,膈疝2例,胃扭转4例,肥厚性幽门狭窄6例,肠旋转不良3例,十二指肠闭锁7例,先天性巨结肠4例,肠套叠33例。结论婴幼儿呕吐的原因,在新生儿期以先天性消化道畸形多见;随年龄的增大,肠套叠为呕吐的主要原因。运用不同的检查方法,可对疾病作出明确的诊断。
Objective To analyze the common causes of infant vomiting by X-ray examination. Methods The data of 63 cases of infants and young children who were vomited by surgical diseases were retrospectively analyzed. Among 63 cases, 38 cases were examined by X-ray plain film, 23 cases of gastrointestinal barium meal, 12 cases of barium enema, 34 cases of air enema . Results 63 cases of esophageal atresia in 4 cases, diaphragmatic hernia in 2 cases, gastric torsion in 4 cases, hypertrophic pyloric stenosis in 6 cases, 3 cases of intestinal malrotation, duodenal atresia in 7 cases, 4 cases of congenital megacolon, intussusception 33 example. Conclusion The causes of vomiting in infants and young children in the neonatal period with congenital gastrointestinal malformations more common; with age, intussusception is the main reason for vomiting. Using different methods of examination can make a clear diagnosis of the disease.