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[脊柱和脊髓产伤所致儿童消化道功能性梗阻的X线症状学及鉴别诊断]

[X-ray symptomatology and differential diagnosis of functional obstruction of the digestive tract in children induced by birth injuries of the spine and spinal cord].

作者信息

Michailov M K, Akberov R F

出版信息

Radiol Diagn (Berl). 1989;30(6):669-74.

PMID:2608901
Abstract

In 60 mixed-breed white rats and 60 puppies we simulated birth traumas of the cervical spine, the spinal medulla and spinal arteries with ischaemia of the cervical medulla. Clinical, neurological and roentgenological complex investigations of 174 children with similar birth injuries revealed pathogenetic relations between birth trauma of the spine, the medulla and the functional obturations of the intestinal tract as pylorospasms, spastic-hypotonic dyskinesia of the ileum and gastroesophageal reflux. Frequent complications were aspiration pneumonia, reflux oesophagitis, oesophageal stenosis and the development of intestinal invagination due to dysrhythmic iliac peristalsis.

摘要

在60只杂种白鼠和60只幼犬身上,我们模拟了颈椎、脊髓和脊髓动脉的出生创伤以及颈髓缺血。对174名有类似出生损伤的儿童进行的临床、神经学和放射学综合检查显示,脊柱、脊髓的出生创伤与肠道功能性梗阻(如幽门痉挛、回肠痉挛性低张运动障碍和胃食管反流)之间存在发病机制上的关联。常见并发症有吸入性肺炎、反流性食管炎、食管狭窄以及因回肠节律紊乱蠕动导致的肠套叠。

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