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目的分析儿童贲门失弛缓症的特点和误诊情况。方法总结1996-01-2009-07中山大学附属第一医院收治的15例患儿的特点及误诊情况。结果 100%出现吞咽困难、呕吐;60%体重不增;40%合并呼吸系统感染症状。100%消化道造影检查均阳性。7例曾出现误诊,其中3例误诊为呼吸系统感染,3例胃炎,1例食管炎。结论贲门失弛缓症患儿误诊率高,应尽早行食管造影等检查确诊。
Objective To analyze the characteristics and misdiagnosis of achalasia in children. Methods The characteristics and misdiagnosis of 15 cases admitted to the First Affiliated Hospital of Sun Yat-sen University from January 1996 to July 2009 were summarized. Results 100% dysphagia, vomiting; 60% body weight does not increase; 40% with respiratory symptoms. 100% digestive tract imaging examination were positive. Seven cases had been misdiagnosed, of which three were misdiagnosed as respiratory infections, three cases of gastritis and one case of esophagitis. Conclusion Misdiagnosis rate of children with achalasia is high, as early as possible by esophageal angiography and other tests confirmed.