CAJ | 학술논문

非新生儿期肠旋转不良临床上诊断困难.本组41例平均延误诊断3.7年.临床特点是:①复发性呕吐,②间歇性腹痛,③营养发育障碍,④腹泻,⑤钡餐检查显示空肠起始部及盲肠位置异常.全部采用Ladd手术治疗.术后主要并发症是粘连性肠梗阻.对非新生儿期患儿顽固而不典型的消化道症状应考虑到肠旋转不良.
비신생인기장선전불량림상상진단곤난.본조41례평균연오진단3.7년.림상특점시:①복발성구토,②간헐성복통,③영양발육장애,④복사,⑤패찬검사현시공장기시부급맹장위치이상.전부채용Ladd수술치료.술후주요병발증시점련성장경조.대비신생인기환인완고이불전형적소화도증상응고필도장선전불량.
The diagnosis of malrotation is more difficult in parients beyond neonatal period.The clinical manifestation is vague,including reccurent vomiting,diarrhea, intermittent abdominal pain,malnutrition and general under development.Abnormal position of the upper jejunum and/or cecum may be shown in contrast radiogram.The Ladd procedure was performed on all cases.The common complication was adhesive intestinal obstruction.Awareness of the persistent vague GI symptoms in patients beyond neonatal period may help us reduce the misdiagnosis of malrotation.