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90年前,Hirschsprung报告两例因结肠扩张和肥厚所致新生儿便秘,迄今巨结肠的诊断仍存在问题。作者基于1950~1973年间的501例经验进行了分析。病儿从生后到诊断明确的时间为3~6个月。其中347例于住院前诊断为巨结肠的只占33%,而有18%在确诊前曾一至数次行开腹探查术。病儿生后24小时以后始排出第一次胎便者占94%。按Sherry和Kramer观察,94%的正常新生儿排第一次胎便系在生后24小时以内。发现便秘者占93.4%,
90 years ago, Hirschsprung reported two cases of neonatal constipation due to colon dilatation and hypertrophy, so far the diagnosis of megacolon is still problematic. The author based on 501 experiences from 1950 to 1973 was analyzed. Children from diagnosis after birth to clear time is 3 to 6 months. Of these, 347 were diagnosed with megacolon before hospitalization, accounting for 33%, while 18% had one to several open laparotomy before diagnosis. After 24 hours of sick child after birth, the first discharge of meconium accounted for 94%. According to Sherry and Kramer, 94% of normal neonates ranked first in the meconium system within 24 hours after birth. Found that constipation accounted for 93.4%