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目的 提高对儿童十二指肠淤滞症的临床及X线诊断的认识。方法 对确诊的78例十二指肠淤滞症的临床及X线表现进行总结分析。结果 78例均有不同程度的十二指肠水平段不全梗阻征象。72例表现为典型的十二指肠水平段纵行条状的“笔杆状”压迹,在改变体位的状态下均有不同程度的梗阻缓解。6例随体位改变梗阻无明显缓解者均有合并症。结论 十二指肠淤滞综合征的梗阻征象在俯卧位、左侧卧位、胸膝位时缓解。
Objective To improve the clinical and X-ray diagnosis of duodenal stasis in children. Methods The clinical and X-ray findings of 78 confirmed duodenal stasis were analyzed. Results 78 cases had varying degrees of duodenal obstruction signs of incomplete obstruction. In 72 cases, the typical “pen-like” indentation of longitudinal strip of the duodenum was observed, and the degree of postoperative obstruction was relieved when the posture was changed. 6 cases with the change of obstruction did not significantly alleviate those who have complications. Conclusion Obstructive signs of duodenal stasis syndrome in prone position, left lateral decubitus, chest knee position to ease.