论文部分内容阅读
六年来,我科共确诊12例先天性食道闭锁的患儿(包括尸解证实者)多数因合并肺炎被漏诊误治,为引起注意现将误诊的4例报告如下。例1:男,1天,因生后不哭憋气1天入院。体检:体重2500g,气急,面色灰暗,喉中痰鸣,双肺无罗音,心(-),腹无异常,按新生儿肺炎治疗2天,病情无好转,窒息死亡。尸解食管上段长3.5cm,形成一盲端,两端间隔0.6cm,下段与气管相通。气管内充满咖啡色粘液。确诊为食道闭锁Ⅲ型。
In the past six years, a total of 12 cases of congenital esophageal atresia (including autopsy confirmed) in our department were diagnosed. Most of the cases were missed or missed because of pneumonia. Example 1: Male, 1 day, because of post-natal do not cry suffocation 1 day admission. Physical examination: weight 2500g, shortness of breath, dark complexion, throat phlegm, pulmonary non-rales, heart (-), abdominal no abnormalities, neonatal pneumonia treatment for 2 days, the disease did not improve, died of suffocation. The upper body of the autopsy esophagus 3.5cm, forming a blind end, the interval between the ends of 0.6cm, the lower end of the trachea. Trachea filled with brown mucus. Diagnosis of esophageal atresia type Ⅲ.