Johnson J F, Robinson L H
Pediatrics. 1984 Feb;73(2):206-15.
Neonatal abdominal plain films were prospectively analyzed over a 41-month period in order to generate a differential diagnosis for focal bowel distension during the first 6 weeks of life. A total of 31 examples of locally distended bowel were collected. The study discredits the concept that asymmetrically distended bowel in the newborn is usually caused by necrotizing enterocolitis (only 9/31 cases) and indicates that distended bowel in the lower abdomen or left upper quadrant is often caused by air trapping in normal but redundant rectosigmoid (11 cases) or in distal transverse colon (three cases). Five other pathologic conditions not normally specified in differential diagnoses of focally distended bowel included inguinal hernia (three cases), small bowel atresia (two cases), midgut volvulus (one case), Hirschsprung's disease (one case), and small left colon (one case). The study emphasizes the value of sequential supine and prone filming for distinguishing normal from pathologic dilated loops of bowel.
对新生儿腹部平片进行了为期41个月的前瞻性分析，以对出生后6周内的局限性肠扩张进行鉴别诊断。共收集到31例局部肠扩张病例。该研究对新生儿不对称性肠扩张通常由坏死性小肠结肠炎引起这一概念提出了质疑（仅9/31例），并表明下腹部或左上象限的肠扩张通常是由正常但冗长的直肠乙状结肠（11例）或远端横结肠（3例）内的气体潴留所致。在局限性肠扩张的鉴别诊断中通常未提及的其他5种病理情况包括腹股沟疝（3例）、小肠闭锁（2例）、中肠扭转（1例）、先天性巨结肠（1例）和小左结肠（1例）。该研究强调了仰卧位和俯卧位连续拍片对于区分正常与病理性扩张肠袢的价值。
