儿童先天性食管裂孔疝嵌顿并胃坏疽1例  

Congenital hiatal hernia associated with gastric gangrene in a child

作　　者：吴雨昊 冉云霓 代江涛[1] 王刚[1] 李洪波[1] 李勇刚 吴春[1] Wu Yuhao;Ran Yunni;Dai Jiangtao;Wang Gang;Li Hongbo;Li Yonggang;Wu Chun(Department of Cardiothoracic Surgery,Children’s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,National Clinical Research Center for Child Health and Disorders,Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China;Department of Intensive Care Unit,Children’s Hospital of Chongqing Medical University,Chongqing 400014,China)

机构地区：[1]重庆医科大学儿童医院胸心外科,儿童发育疾病研究教育部重点实验室,儿童发育重大疾病国家国际科技合作基地,国家儿童健康与疾病临床医学研究中心,儿科学重庆市重点实验室,400014 [2]重庆医科大学附属儿童医院重症医学科,400014

出　　处：《中华胸心血管外科杂志》2020年第1期46-47,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：食管裂孔疝嵌顿并胃坏疽十分罕见。本文回顾1例9岁6个月女性患儿先天性食管裂孔疝嵌顿并胃坏疽的发病、诊断及治疗过程,总结该病的临床表现和诊治要点。患儿患先天性食管裂孔疝嵌顿,病情危重,胸部CT及上消化道造影可明确诊断,行胃大部切除及食管裂孔疝修补后出现食管远端出血及食管-胃连接处狭窄,早期手术解除嵌顿是降低术后并发症及病死率的关键。

关 键 词：胃大部切除 上消化道造影 诊治要点 胸部CT 坏疽 早期手术 嵌顿 明确诊断 

分 类 号：R726.5[医药卫生—儿科]