Linder R, Grumbrecht C, Soder A, Stosiek U, Maier W A
Ultraschall Med. 1984 Aug;5(4):148-51. doi: 10.1055/s-2007-1012087.
A hydramnion occurring during the second half of pregnancy may be due to atresias in the upper intestinal tract. Generally, one case of oesophageal atresia is likely to occur in every 2,500 births, often together with other malformations. Prenatal diagnosis of such atresias substantially improves prognosis for these children via optimal cooperation between the obstetrician and the paediatric surgeon. Characteristic features of oesophageal atresia in the sonographic image are, besides the hydramnion, the absence of visualisation of the stomach. Sonographic diagnosis of duodenal atresias is based on visualisation of the stomach, which is excessively filled with fluid, and of the portion of the small intestine located cranially of the stenosis. The patients treated by the author and presented here were successfully operated on via termination of birth and immediate surgery by the paediatric surgeon.
妊娠后半期出现的羊水过多可能是由于上消化道闭锁所致。一般来说，每2500例出生中可能会出现1例食管闭锁，且常伴有其他畸形。通过产科医生和小儿外科医生的最佳合作，对这类闭锁进行产前诊断可显著改善这些患儿的预后。超声图像中食管闭锁的特征性表现，除了羊水过多外，还有胃无法显示。十二指肠闭锁的超声诊断基于胃的显示，胃内充满过多液体，以及狭窄部位上方小肠的显示。作者治疗并在此呈现的患者通过终止妊娠并由小儿外科医生立即进行手术，手术成功。
