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先天性肥厚性幽门狭窄42例临床分析
引用本文:郭丽英,栾梅香,何锐.先天性肥厚性幽门狭窄42例临床分析[J].新疆医科大学学报,2002,25(2):163-164.
作者姓名:郭丽英  栾梅香  何锐
作者单位:1. 新疆医科大学第一附属医院普外一科,新疆 乌鲁木齐 830054
2. 新疆乌鲁木齐石油医院地调处分院外科,新疆 乌鲁木齐 830016
摘    要:目的:探讨先天性肥厚性幽门狭窄(CHPS)诊断和治疗的方法。方法:42例先天性肥厚性幽门狭窄患儿均行幽门环状肌切开术。结果:42例患儿经幽门环状肌切开术后,均痊愈。结论:CHPS应早期诊断,早期治疗,X线和B超检查在确诊CHPS中具有重要地位并可进行互补,术中精细和熟练的操作可避免损伤十二指肠粘膜,术前纠正和术后维持水,电解质平衡是手术成功的关键所在。

关 键 词:先天性肥厚性幽门狭窄  临床分析  CHPS  诊断  治疗  新生儿疾病  婴儿
文章编号:1009-5551(2002)02-0163-02
修稿时间:2001年11月4日

Diagnosis and surgical treatment of the congenital hypertrophic pyloric stenosis in 42 cases
GUO Li ying,LUAN Mei xiang,HE Rui.Diagnosis and surgical treatment of the congenital hypertrophic pyloric stenosis in 42 cases[J].Journal of Xinjiang Medical University,2002,25(2):163-164.
Authors:GUO Li ying  LUAN Mei xiang  HE Rui
Abstract:Objective: To investigate the diagnosis and surgical treatment of the congenital hypertrophic pyloric stenosis. Methods: The clinical materials of 42 CHPS were studied retrospectively. Results: 42 patients performed by pyloromyotomy all recovered and discharged. Conlusion: The study shows that the diagnosis and treatment are the earlier the better; X ray barium meal and ultrosonic examination may be of the same importance and complementaray with each other in confirming the diagnosis of CHPS. Careful and skilled manipulation in operation can prevent the damage of the duodenal membrane. Correcting and keeping the water, eletrolytes balance are considered to be the key points of the operation.
Keywords:CHPS  diagnosis  treatment
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