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摘要: 先天性幽门肥厚性狭窄(CHPS)是婴儿最常见的呕吐原因之一,常导致婴儿营养不良和生长发育迟缓,若不及时处理可致死[1].主要治疗方法是幽门环肌切开术.作者回顾性分析本院近6年来住院病例围术期治疗策略,发现早手术、早期喂养有助于改善临床疗效.
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李在玲, 王继山. 先天性肥厚性幽门狭窄 [A]. 北京:人民卫生出版社, 2003.1308. Pedersen R N, Game E, Loane M. Infantile hypertrophic pylofic stenosis:a comparative study of incidence and other epidemiologieal characteristics in seven European regions [J]. Journal of Maternal-Fetal and Neonatal Medicine, 2008.599. 褚珺, 陈其民, 施诚仁. 先天性幽门肥厚性狭窄手术近期效果探讨 [J]. 中华小儿外科杂志, 2006, (27):110. 曾光, 凌志安. 环脐皱褶小切口下行幽门环状肌切开术治疗小儿先天性肥厚性幽门狭窄35例分析 [J]. 广西医科大学学报, 2011(5):764.doi: 10.3969/j.issn.1005-930X.2011.05.038. Campbell B T, MeVay M R, Lerer T J. Ghosts in the machine:a multi-institutional comparison oflaparoscopie and open pyloromyotomy [J]. Journal of Pediatric Surgery, 2007, (12):2026. St Peter S D, Holcomb G W, Calklns C M. Open versus laparoscopic pyloromyotomy For pyloric stensis:A prospective, randomized trial [J]. Annals of Surgery, 2006.363. Leclair M D, Plattner V, Mirallie E. Laparoscopie pyloromyotomy for hypertrophic pyloric stenosis:a prospective, randomized controlled trial [J]. Journal of Pediatric Surgery, 2007(4):692. Carpenter R O, Schaffer R L, Maeso C E. Postoperative ad lib feeding for hypertrophic pyloric stenosis [J]. Journal of Pediatric Surgery, 1999(6):959.
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