小兒消化道阻塞症的X光診斷－167個案統計分析

Radiological Diagnosis of Alimentary Tract Obstruction in Pediatric Field-167 Cases Analysis

蔡長晃(Chang-Huang Tsai) ； 萬永亮(Yung-Liang Wan) ； 蔡春泉(Chung-Chueng Tsai)

《中華放射線醫學雜誌》 6卷4期 (1981/12) Pp. 274-298

摘要

自從民國65年12月成立至70年6月止，共有167個15歲以下的消化道阻塞症的病人住院，其中以腸套疊高居首位（佔28.6%），年齡方面方以未滿週歲的嬰兒罹患率最多(64%)。X光的檢查，包括胸部，腹部及消化道造影劑攝影，將可達到正確的診斷。及早適當與適時的的診斷與治療，將可讓小兒病患得到最佳的照顧與預後，這是小孩家長，臨床醫師，及放射診斷醫師所應有的共同認識與責任。

並列摘要

The clinical data and X-ray films of 167 cases of alimentary tract obstruction in pediatric field from Dec. 1976 to June 1981 were reviewed and analysed. According to the incidences of the age and disease, about 80% of the patients suffered from the intussusception, intestinal obstruction after operation, congenital megacolon, imperforated anus, and malrotation of the midgut in order of frequency. 64% of the patients were the infant.
The radiological examination of the alimentary tract obstruction, including the chest, plain abdomen, and contrast medium study of the alimentary tract will give the most reliable diagnosis.
The parents, clinical docter, and diagnostic radiologist should be aware of the infant and children with manifestation of vomiting, abdominal distension and pain, or chronic constipation, so that early diagnosis and treatment is available for those patients suffering from the alimentary obstruction.