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目的 :探讨应用胃管初步诊断先天性食管闭锁的可行性及操作程序。方法 :观察 18例食管闭锁患儿放置胃管的过程 ,总结术中出现的异常情况。结果 :18例患儿放置胃管过程中均发现异常 :出现阻力 17例 ,反复盘曲、回返至口腔 6例 ,插入 10cm左右抽吸有液体者 9例 ,注入空气 10ml同时胃部听诊 18例均未闻及气过水声 ,胸骨上段听诊闻及气过水声 8例 ,空气快速注入时口鼻处气流溢出 4例 ,注入温开水从口鼻返流 16例。结论 :通过规范的操作和严格的观察 ,可利用胃管放置对先天性食管闭锁进行初步诊断 ,从而减少对该病的误诊率。
Objective: To explore the feasibility and operation procedure of initial diagnosis of congenital esophageal atresia with gastric tube. Methods: 18 cases of esophageal atresia in children placed in the process of gastric tube, summing up the occurrence of abnormalities. Results: Abnormalities were found in all the 18 cases during gastric tube placement. There were 17 cases of resistance, repeated disc, returned to the oral cavity in 6 cases, inserted 10 cm of fluid in 9 cases, 10 ml of air and 18 cases of gastric auscultation In the upper part of the sternum, there were 8 cases of auscultation and gas over the water, 4 cases of spilled air at the mouth and nose when the air was rapidly injected, and 16 cases were injected with warm water from the mouth and nose. Conclusion: Through standardized operation and strict observation, gastric tube placement can be used to preliminarily diagnose congenital esophageal atresia, so as to reduce the misdiagnosis rate of the disease.