论文部分内容阅读
我们自1997年5月经手术治疗小儿急性胃扩张5例均治愈,现报告如下。1 临床资料1.1 一般资料本组5例均为男孩,年龄8～12岁,平均10岁。5例均有暴饮暴食文。1.2 诊断与治疗 5例中3例术前明确诊断,2例误诊为胃穿孔、急性弥漫性腹膜炎。5例均手术探查,胃壁切小口,清除吸净胃内食物残渣。典型病例:男,10岁,腹痛腹胀伴恶心呕吐22/小时,有暴饮暴食史,食后2小时腹痛,开始时较轻,逐渐加重,遍及全腹部,腹胀,伴恶心呕吐,吐咖啡色胃内容物,最较多。体格检查:体温37.8℃,脉搏120次/min,血压85/50 mmHg,神志淡漠,中度脱水貌。双肺
We since May 1997 by surgery in children with acute stomach dilatation in 5 cases were cured, are as follows. 1 Clinical data 1.1 General Information The group of 5 patients were boys, aged 8 to 12 years, an average of 10 years old. 5 cases are binge eating article. 1.2 Diagnosis and treatment 5 cases in 3 cases a clear diagnosis before surgery, 2 cases misdiagnosed as gastric perforation, acute diffuse peritonitis. Surgical exploration in 5 cases, small incision in the stomach wall, remove the net absorption of food residue in the stomach. Typical cases: male, 10 years old, abdominal pain bloating with nausea and vomiting 22 / hour, binge eating history, 2 hours after eating abdominal pain, the beginning of the lighter, and gradually increased throughout the abdomen, abdominal distension, with nausea and vomiting, spit brown stomach Content, most of them. Physical examination: body temperature 37.8 ℃, pulse 120 beats / min, blood pressure 85/50 mmHg, apathetic, moderate dehydration appearance. Double lungs