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
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
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
诊断性检查
首要检查
- 化学检查
- 腹部超声检查
治疗流程
所有患者
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.
鉴别诊断
- 胃食管反流
- 过度进食
- 旋转不良
更多 鉴别诊断指南
- ACR 适宜性标准：婴儿呕吐
- 婴儿肥厚性幽门狭窄手术治疗的指导准则
更多 指南
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