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頁籤選單縮合
題名 | Congenital Duodenal Membrane: A Ten-year Review=先天性十二指腸隔膜:十年回顧 |
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作者 | 黃福辰; 莊錦豪; 謝松松; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 40:2 民88.03-04 |
頁次 | 頁70-74+135 |
分類號 | 417.6243 |
關鍵詞 | 十二指腸隔膜; 先天性; 孩童; Duodenal membrane; Congenital; Children; |
語文 | 英文(English) |
中文摘要 | 傳統上,先天性十二指腸隔膜被歸類為十二指腸閉鎖的一種,為了進一步了解這個疾病, 我們報告從1988年四月到1998年十一月這十年間治療十三位先天性十二指腸隔膜的經驗。九位男 孩,四位女孩,只有四位 (31%) 為早產兒;其中八位到晚期才診斷出來並導致長期住院 (平均20 天) ,診斷延遲的原因包括:膽汁性嘔吐 (46%) 及腹脹 (39%) 較少發生,腹部X-光及超音波缺乏 明顯的診斷依據。雖然如此,經過隔膜切除及十二指腸整形後,都沒有重大併發症發生,並且除了 二位合併唐氏症的小孩以外,長期追蹤的體重均明顯增加。 由於先天性十二指腸隔膜的診斷經常被忽略,所以進一步瞭解這個疾病可以避免診斷的延遲和長期 的住院。 |
英文摘要 | Traditionally, congenital duodenal membrane (CDM) has been classified as a type of duodenal atresia. To provide a better understanding of this disease entity, the experience of our 13 patients with congenital duodenal membrane treated from April 1988 to November 1998 is reported. Nine were boys and four were girls. Including four prematures (31%). Late diagnosis was made in eight babies and led to prolonged hospitalization (mean 20 days), although duodenal obstruction was demonstrated by barium study in all 13 patients. The low frequency of bilious vomiting (46%) and abdominal distention (39%), and lack of definite findings on plain abdominal X-ray and abdominal ultrasonography, have contributed to the delayed diagnosis in our patients. Nevertheless, no major complications developed after web excision with duodenoplasty, and satisfactory weight gain was noted in all patients except the two with Down syndrome. Since CDM is often overlooked, a better understanding of this disease entity can prevent delayed diagnosis, growth retardation and prolonged hospitalization. |
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