Srivastava Nayan T, Parent John J, Schamberger Marcus S
Department of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA.
Ann Pediatr Cardiol. 2017 Sep-Dec;10(3):298-300. doi: 10.4103/apc.APC_51_17.
Feeding difficulty has been reported at a higher incidence in infants with cyanotic heart disease and single ventricle physiology necessitating specialized feeding strategies. However, structural causes of feed intolerance in this subset of patients should not be ignored. This case series highlights three recent cases of pyloric stenosis in infants with left-sided obstructive lesions at our institution. In all three cases, the initial presumed diagnosis was feeding intolerance related to heart disease, and there was significant clinical improvement following identification and correction of pyloric stenosis.
据报道，患有紫绀型心脏病和单心室生理状况的婴儿出现喂养困难的发生率较高，因此需要专门的喂养策略。然而，这类患者中喂养不耐受的结构性原因也不应被忽视。本病例系列重点介绍了我们机构最近收治的三例患有左侧梗阻性病变的婴儿幽门狭窄病例。在所有三例病例中，最初推测的诊断是与心脏病相关的喂养不耐受，在识别并纠正幽门狭窄后，临床症状有了显著改善。
