先天性肥厚性幽门狭窄的现代治疗
Contemporary management of pyloric stenosis.
作者信息
Jobson Matthew, Hall Nigel J
机构信息
Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Tremona Rd, Southampton SO16 6YD, UK.
Department of Paediatric Surgery and Urology, Southampton Children's Hospital, Tremona Rd, Southampton SO16 6YD, UK; Faculty of Medicine, University of Southampton, Southampton, UK.
出版信息
Semin Pediatr Surg. 2016 Aug;25(4):219-24. doi: 10.1053/j.sempedsurg.2016.05.004. Epub 2016 May 10.
Hypertrophic pyloric stenosis is a common surgical cause of vomiting in infants. Following appropriate fluid resuscitation, the mainstay of treatment is pyloromyotomy. This article reviews the aetiology and pathophysiology of hypertrophic pyloric stenosis, its clinical presentation, the role of imaging, the preoperative and postoperative management, current surgical approaches and non-surgical treatment options. Contemporary postoperative feeding regimens, outcomes and complications are also discussed.
肥厚性幽门狭窄是婴儿呕吐的常见外科病因。在进行适当的液体复苏后，治疗的主要方法是幽门肌切开术。本文综述了肥厚性幽门狭窄的病因和病理生理学、临床表现、影像学检查的作用、术前和术后管理、当前的手术方法以及非手术治疗选择。还讨论了当代术后喂养方案、治疗结果和并发症。
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