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儿童肠系膜上动脉压迫综合征31例分析
引用本文:康庆民,敬小青,杨云鹏.儿童肠系膜上动脉压迫综合征31例分析[J].中国误诊学杂志,2004,4(1):37-38.
作者姓名:康庆民  敬小青  杨云鹏
作者单位:1. 承德医学院附属医院普外科,河北,承德,067000
2. 承德医学院附属医院儿科
摘    要:目的 :对肠系膜上动脉压迫综合征 (SMAS)的病因、诊断、治疗进行分析和探讨。方法 :收集 1992 - 0 8~2 0 0 2 - 0 8我院门诊及住院经 X线钡餐检查确诊为 SMAS儿童 16例结合外院确诊为 SMAS儿童 15例。结果 :首先全部经保守治疗 ,好转 2 1例 ,痊愈 9例 ,1例因仍反复腹痛、呕吐而行手术治疗。结论 :诊断 SMAS除具有上腹胀痛、呕吐等典型症状外 ,主要确诊依据为 X线钡餐检查。首先采用保守治疗无效者再行手术。

关 键 词:儿童  上肠系膜动脉综合征/诊断  上肠系膜动脉综合征/治疗
文章编号:1009-6647(2004)01-0037-02
修稿时间:2003年8月22日

Analysis of The Superio Mesenteric Artery Syndrome in 31 Children
KANG Qing-min,JING Xiao-qing,YANG Yun-peng.Analysis of The Superio Mesenteric Artery Syndrome in 31 Children[J].Chinese Journal of Misdiagnostics,2004,4(1):37-38.
Authors:KANG Qing-min  JING Xiao-qing  YANG Yun-peng
Abstract:Objective:To investigate and analysis the etiological factors,diagnosis and treatment of Superio Mesenteric Artery Syndrome (SMAS).Methods:From August 1992 to August 2002,31 patients of SMAS who had been diagnosed.including 16 cases in our hospital and 15 cases in other hospitals.Results:31 patients received conservative treatment.Among them,21 cases got clinical improvement and 9 cases were cured,one case received surgical treatment because of vomiting and abdominalgia repeatedly.Conclusion:The diagnosis of SMAS should mainly depend on barium meal examination except that the typical symptoms such as epigastric distending pain and vomiting.The patient shoud received conservative treatment firstly.Surgical intervention is indicated if the patient does not respond to the conservative treatment.
Keywords:Child  Superior mesenteric artery syndrome/diagnosis  Superior mesenteric artery syndrome/therapy
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