新生儿气腹的临床及影像学分析  

Clinical and Imaging Analysis of Neonatal Pneumoperitoneum

作　　者：张武平 董亚莉 

机构地区：[1]铜川市妇幼保健院,铜川727007

出　　处：《中国医药导刊》2012年第9期1490-1490,1492,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨新生儿气腹的临床及影像分析。方法:对我院儿科进行治疗的17例新生儿气腹患儿的临床及X线影像资料进行回顾性分析。结果:17例新生儿气腹患儿的X线影像学均表现为膈下腹腔游离性气体,对患儿卧位透视显示患儿游离性气体主要集中于患儿的腹腔中部,形状主要体现为球状透明的区域,随着肠管的移动而发生位移,且两侧的膈肌呈现上升的趋势,而患儿立位透视分析显示游离性气体主要位于膈下部。15例患儿经对症修补术治疗及抗炎治疗后均痊愈出院,2例患儿术后死亡。结论:新生儿气腹采用X线透视影像学诊断是临床诊断正确率较高的方法,应尽早开始手术,有利于术后的恢复。Objective：To study the clinical and imaging neonatal of the neonatal pneumoperitoneum.Methods：The pediatric 17 newborns gasless laparoscopic clinical and children X-ray image data were retrospectively analyzed in our hospital.Results：17 newborns gasless laparoscopic X-ray imaging children,both present under the diaphragm abdominal free gas,lie down on the display of the children who children free gas mainly focus on the patient’s central abdominal cavity,shape is mainly embodied in globular transparent area,with the movement of the bowel and happen displacement,and on both sides of the diaphragmatic muscle rising trend.And made a perspective of children of the analysis showed that the free gas located mainly in the lower mediastinum.15 cases remedy the repair of treatment and anti-inflammatory treatment were recovered after hospital discharge,2 cases died after operation.Conclusion：The newborn gasless laparoscopic X line perspective imaging diagnosis is clinical diagnosis accuracy high method,should start as soon as possible surgery,be helpful for postoperative recovery.

关 键 词：新生儿气腹 影像学 胃穿孔 

分 类 号：R816.92[医药卫生—放射医学] R722.1[医药卫生—临床医学]