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在健康的新生儿中,上部胃肠道系列具有胆性吐 - - 它仍然很明显吗? 一个回顾性观察性研究
Audelia Eshel Fuhrer1, Reut Doyev2, Tal Koppelmann1
1Department of Pediatric Surgery, Dana-Dwek Children's hospital, Tel Aviv Sourasky medical center, Tel Aviv, Israel.
Acta paediatrica (Oslo, Norway : 1992)
|June 2, 2023
概括
上部胃肠道对比系列 (UGI) 对于诊断胆汁性吐 (BV) 的新生儿的恶转和中肠卷发 (MGV) 仍然至关重要. 像异常的X射线和膨胀这样的临床症状增加了怀疑,但不能取代UGI.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 新生儿护理 新生儿护理
背景情况:
- 新生儿的胆性吐 (BV) 往往需要排除恶转和中肠 (MGV).
- 由于对MGV的认识增加,对上部胃肠道对比系列 (UGI) 的需求有所增加.
研究的目的:
- 评估临床参数的预测价值在管理新生儿与BV.
- 重新评估UGI在诊断BV的新生儿中转移不良和MGV中的作用.
主要方法:
- 追溯的队列研究.
- 包括来自157名为期新生儿的医学,成像和手术数据,这些新生儿接受了针对BV的UGI.
主要成果:
- 八名新生儿 (5.1%) 被诊断为转移不良,五名患有MGV,其中两名需要肠道切除以致亡.
- 异常平面放射图与腹部膨胀相结合,增加了10倍 (p=0.017) 的逆转率.
- 异常的X射线图,膨胀和疼痛使MGV的几率提高了25倍 (p=0.002).
结论:
- UGI仍然是新生儿转移不良和MGV的主要诊断工具.
- 临床发现和普通放射图片是支持性的,但不足以取代UGI研究.
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