Lundkvist K, Ewald U, Lindgren P G
Department of Paediatric Surgery, Uppsala University Hospital, Sweden.
Acta Paediatr. 1996 Mar;85(3):295-8. doi: 10.1111/j.1651-2227.1996.tb14019.x.
We compared ultrasound findings and pre- and postnatal clinical signs in 8 patients with congenital chloride diarrhoea and 14 with small bowel atresia diagnosed in 1977-1991 in order to evaluate the possibility of a prenatal distinguishing diagnostic sign. In the patients with congenital chloride diarrhoea the pregnancy was complicated by marked polyhydramnios, the symphysis-fundus distance exceeded + 2 SD before gestational week 31 and the fetus displayed normal peristalsis in extensively dilated intestines and the "frog position". In the patients with small bowel atresia the symphysis-fundus distance was normal before gestational week 31 and the fetus displayed increased peristalsis in a few dilated intestinal loops.
我们比较了1977年至1991年间诊断出的8例先天性氯腹泻患者和14例小肠闭锁患者的超声检查结果以及产前和产后临床体征，以评估产前鉴别诊断体征的可能性。在先天性氯腹泻患者中，妊娠合并明显羊水过多，在妊娠31周前耻骨联合-宫底距离超过+2标准差，胎儿在广泛扩张的肠道中表现出正常蠕动并呈“青蛙姿势”。在小肠闭锁患者中，妊娠31周前耻骨联合-宫底距离正常，胎儿在少数扩张的肠袢中表现出蠕动增强。
