乳児肥厚性幽門狭窄症107例の検討と最近の動向 AN ANALYSIS OF 107 OPERATED CASES OF INFANTILE HYPERTROPHIC PYLORIC STENOSIS : THE TREND OF ITS CLINICAL FINDINGS

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乳児肥厚性幽門狭窄症の手術症例107例を検討した結果,本症に特徴的な低Cl性低K性代謝性アルカローシスと貧血は近年軽症化の傾向が認められた.疾患概念と超音波検査の普及により早期診断が行われるようになってきたためと考えられる.また適切な輸液療法と術後の速やかな経口摂取量の増量により入院期間にも短縮傾向が認められた.本症は小児外科疾患であるが,嘔吐を主訴に小児科医を受診することが多く,乳児の嘔吐の鑑別診断上重要な疾患のひとつである.病歴より本症を疑った症例で幽門部の腫瘤が触知しにくい場合には積極的に超音波検査を行うことにより早期診断が可能になると考えられる.

In order to evaluate the clinical aspect of infantile hypertrophic pyloric stenosis (IHPS), 107 operated cases of IHPS have been analyzed every 2 years since 1977. The duration from the onset of the disease to the operation and that of hospital stay tend to shorten year by year, that might be brought by an appropriate infusion therapy and rapid increase in volume of postoperative oral ingestion. Metabolic alkalosis with hypochloremia and hypokalemia and anemia which are the typical biochemical abnormalities in IHPS, have been getting milder recently. The spread of the notion about IHPS and sonographic diagnosis over pediatricians as well as pediatric surgeons have facilitated the early diagnosis. This disease is primarily to be treated in the field of pediatric surgery, but infants complaining of vomitting often consult a pediatricians, when the presence of IHPS should be entertained as a probable differential diagnosis for vomiting. If any tumor is hardly palpated in an infant suspected to IHPS from his or her previous history, sonography is a useful modality to make the early diagnosis of the disease.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 58(6), 1184-1187, 1997-06-25

    Japan Surgical Association

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各種コード

  • NII論文ID(NAID)
    10008527712
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    03869776
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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