幽门狭窄

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最后审阅： 26 二月 2023
最后更新： 28 九月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 头胎男婴
  • 非胆汁性喷射性呕吐
  • 3 到 6 周龄
  • 上腹部肿块
  • 蠕动波
更多 关键诊断因素

其他诊断因素

  • 幽门狭窄家族史
  • 多次更改配方奶粉
  • 心动过速
  • 湿尿布减少
  • 黏膜干燥
  • 囟门扁平或凹陷
  • 便秘
  • 体重增加缓慢
  • 易怒
其他诊断因素

危险因素

  • 早产
  • 早期接触红霉素
  • 前列腺素暴露
  • 母体接触大环内酯
  • 地理位置/种族背景
  • 头胎男婴
  • 幽门狭窄家族史
更多 危险因素
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诊断性检查

首要检查

  • 化学检查
  • 腹部超声检查
更多 首要检查
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治疗流程

急症处理

所有患者

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撰稿人

作者

Catherine J. Hunter, MD

Professor of Surgery and Division Chief of Pediatric Surgery

Oklahoma Children’s Hospital

The University of Oklahoma College of Medicine

Oklahoma City

OK

利益声明

CJH declares that she has no competing interests.

鸣谢

Dr Catherine Hunter would like to gratefully acknowledge Dr Samuel C. Klonoski, Dr Jeffrey S. Upperman, Dr Yigit S. Guner, and Dr Arturo Aranda, previous contributors to this topic. SCK, JSU, YSG, and AA declare that they have no competing interests.

同行评议者

Evan Nadler, MD

Assistant Professor of Surgery

Department of Surgery

Division of Pediatric Surgery

NYU Medical Center

New York

NY

利益声明

EN declares that he has no competing interests.

Lewis Spitz, PhD FRCS MD (Hon), FRCPCH FAAP (Hon), FCS (SA) (Hon)

Emeritus Nuffield Professor of Paediatric Surgery

Institute of Child Health

University College

London

UK

利益声明

LS declares that he has no competing interests.

Ruth Hallows, BSc, MB BS, FRCS, FRCS III (Paediatric Surgery)

Consultant in Paediatric and Neonatal Surgery

Royal Alexandra Children's Hospital

Brighton

UK

利益声明

RH declares that she has no competing interests.

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